CMS 02/12 Insurance Claim Form, 2-Part, White/White, 9 1/2 x 11, 1000 Forms

Product ID:

415002

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$70.62 / CT
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  • 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

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