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

$239.97

Tax excluded

Quantity

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.

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Description

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 Details

Brand TOPS™

Reference TOP50122RV

Data sheet

Punching: Dot Matrix Pin Feed Holes
Special Features: Continuous Form
Paper Color(s): White
Global Product Type: Forms-Insurance
Pre-Consumer Recycled Content Percent: 0%
Post-Consumer Recycled Content Percent: 0%
Total Recycled Content Percent: 0%
Form Size: 8 1/2 x 11
Forms Per Page: 1
Form Quantity: 3000
Principal Heading(s): 1500 Health Insurance Claim Form
Layout: One Form per Sheet
Paper Stock: 20-lb.
Print and Ruling Color(s): OCR Red
Printer Compatibility: Dot Matrix
Unit Of Measure: CT

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