Paris Business Products CMS Forms, 2 Part Continuous White/White, 9 1/2 x 11, 1000 Forms

Sku:

PRB07114

Upc:

090146051042

(0)
$73.27 / CT
$66.51 / CT
when buying 4+
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List Price: $110.40
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  Estimated delivery time 1-3 business days
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.

Includes 1,000 forms.

Specifications

Global Product Type Forms-Insurance
Form Size 9 1/2 x 11
Forms Per Page 1
Form Quantity 1000
Sheet Size 9 1/2 x 11
Copy Types Carbonless Duplicate
Paper Stock 20 lb.
Paper Color White
Footnote 1 Two-part continuous feed, white/white. Carbonless
Special Features Centers for Medicare and Medicaid Services (CMS) Forms
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