CMS 02/12 Insurance Claim Form, 8 1/2 x 11, 500 Forms
New
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.
| $17.53 USD Retail $35.37 |
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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
| Application/Usage | Banner |
| Application/Usage | Document |
| Brand Name | GBC |
| Certifications & Standards | cUL approved |
| Color | Blue |
| Color | Blue |
| Color | Blue |
| Color | Gray |
| Color | Gray |
| Color | Gray |
| Country of origin | Taiwan |
| Country of Origin | Taiwan |
| Country of origin | Taiwan |
| Features | Standby Mode |
| Features | Variable Speed |
| Features | Auto Shutoff |
| Form Quantity | 500 |
| Form Size | 8 1/2 x 11 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance |
| Height | 24.5" |
| Height | 24.5" |
| Height | 24.5" |
| Laminator Type | Roll |
| Length | 42" |
| Length | 42" |
| Length | 42" |
| Manufacturer | ACCO Brands Corporation |
| Manufacturer Part Number | 1701700 |
| Manufacturer Website Address | http://www.acco.com |
| Maximum Lamination Thickness | 3 mil |
| Maximum Lamination Width | 27" |
| Maximum Warm-up Time | 10 Minute |
| Minimum Lamination Thickness | 1 mil |
| Minimum Warm-up Time | 8 Minute |
| Packaged Quantity | 1 |
| Paper Color(s) | White |
| Paper Stock | 20 lb. |
| Processing Method | Hot |
| Product Name | Pinnacle 27 Thermal Roll Laminator NAP I/II 27" Max. Width 8-10 Min Warm-Up |
| Product Type | Hot Laminator |
| Recycled | No |
| Rollers | 2 |
| Sheet Size | 8 1/2 x 11 |
| Special Features | Centers for Medicare and Medicaid Services (CMS) Forms |
| Special_Benefit_Statement | (02/12) version |
| Speed | 10 ft/min |
| Status Indicators |
|
| Width | 15" |
| Width | 15" |
| Width | 15" |
| Features | Variable Speed |
| Features | Standby Mode |
| Features | Auto Shutoff |
| Recycled | No |
| Recycled | No |
| Speed | 10 ft/min |
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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