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CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 250 Forms

CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 250 Forms

Product ID: 218957556 Condition: New

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R 868
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Delivery: 10-20 working days
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Product Description

CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 250 Forms

  • (CMS 1500) Health Insurance Claim Form, Laser / Ink-JetFormat
  • 1 Part 9-1/2 x 11
  • Printed in OCR red ink for scanning
  • Approved by CMS, NUCC and OMB

Technical Specifications

Country
USA
Brand
Generic
Manufacturer
TOPS
Binding
Office Product
ItemPartNumber
50122RV
Model
50122RV

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