CMS 02/12 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 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.
| $111.24 USD Retail $171.41 |
Extended Warrenty
| 1 Year Extended Warrenty | $22.25 |
You may be also interested
$24.88
$25.13
$171.83
$12.49
$12.59
$10.59
$18.43
$3.74
$8.34
$3.99
$10.01
$11.70
$7.63
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
Product Specifications
| Copy Paper Color(s) | Canary |
| Copy Types | Carbonless Duplicate |
| Footnote 1 | Two-part continuous feed white/canary. Carbonless |
| Form Quantity | 1000 |
| Form Size | 9 1/2 x 11 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance |
| Paper Color(s) | Canary |
| Paper Color(s) | White |
| Paper Stock | 20 lb. |
| Sheet Size | 9 1/2 x 11 |
| Special Features | Centers for Medicare and Medicaid Services (CMS) Forms |
| Special_Benefit_Statement | (02/12) version |
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.
Sorry this product does not have any reviews at this time.
Time to Rendor : 0.4375
Powered by Power-eCommerce.com