CMS 02/12 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms
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Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing and meet all federal guidelines.
| $60.30 USD Retail $133.12 |
Extended Warrenty
| 1 Year Extended Warrenty | $12.06 |
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Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
Product Specifications
| Brand Name | GBC |
| Color | Clear |
| Color | Clear |
| Color | Clear |
| Compatibility | GBC - Pinnacle 27 EZload Laminator |
| Compatibility | GBC - Pinnacle 27 EZload Laminator |
| Compatibility | GBC - Pinnacle 27 EZload Laminator |
| Country of origin | China |
| Country of Origin | China |
| Country of origin | China |
| Environmentally Friendly | Yes |
| Footnote 1 | One-part continuous feed white |
| Form Quantity | 2500 |
| Form Size | 9 1/2 x 11 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance |
| Laminating Sheet Length | 500 ft |
| Laminating Sheet Thickness | 1.50 mil |
| Laminating Sheet Width | 25" |
| Manufacturer | ACCO Brands Corporation |
| Manufacturer Part Number | 3748201EZ |
| Manufacturer Website Address | http://www.acco.com |
| Material | Polyester |
| Material | Polyester |
| Material | Polyester |
| Packaged Quantity | 2 / Box |
| Paper Color(s) | White |
| Paper Stock | 20 lb. |
| Product Line | EZload |
| Product Name | EZ Load Laminating Roll Film |
| Product Type | Laminating Roll |
| Recycled | No |
| Sealing Process | Hot-run |
| Sheet Size | 9 1/2 x 11 |
| Special Features | Centers for Medicare and Medicaid Services (CMS) Forms |
| Special_Benefit_Statement | (02/12) version |
| Surface Finish | Matte |
| Recycled | No |
| Recycled | No |
Material Safety Data Sheet
A Material Safety Data Sheet (MSDS) is a document that contains information on the potential hazards (health, fire, reactivity and environmental) and how to work safely with the chemical product.
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