Centers for Medicare and Medicaid Services Forms, 3000 Forms/Carton

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Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.
0 Review(s) Item: 50122RV | By: TOPS BUSINESS FORMS | In Stock
$78.57 USD Retail $189.86
  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.
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    Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

    Product Specifications

    Form Quantity3000
    Form Size8 1/2 x 11
    Forms Per Page1
    Global Product TypeForms-Insurance
    LayoutOne Form per Sheet
    Paper Color(s)White
    Paper Stock20-lb.
    Post-Consumer Recycled Content Percent0%
    Pre-Consumer Recycled Content Percent0%
    Principal Heading(s)1500 Health Insurance Claim Form
    Print and Ruling Color(s)OCR Red
    Printer CompatibilityDot Matrix
    Product_DescriptionFORMCMS-1500INS3000/CT
    PunchingDot Matrix Pin Feed Holes
    Special FeaturesContinuous Form
    Total Recycled Content Percent0%

    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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