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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Out of Stock
SKU #
CMS12LC250
Mfr #
CMS12LC250
Manufacturer
TFP DATA SYSTEMS
Description
Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink.
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Product Information

UPC:
758399422254
UNSPSC:
0014111806
Country of Origin:
US
Dimensions:
11.224*8.714*1.29
Unit of Measure:
PK
Weight:
2.6

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