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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous, 1,500/Box

See pricing info, deals and product reviews for ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous, 1,500/Box at Quill.com. Order online today and get fast, free shipping for your business.
Item #: 901-CMS12651183
  Model #: 651183
Brand: ComplyRight
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 1-Part Continuous, 1,500/Box
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Description
  • Designed for filing Medicare part B claims as well as claims to commercial insurance companies
  • Includes the newest NUCC revisions
  • Printed in red, OCR scannable ink in complaince with government standards
  • Guaranteed to comply with all government standards for paper, ink and layout.
  • 9-1/2" x 11"
  • Continuous feed for dot matrix printers
  • 1-part
  • 1500 per box
Specifications
Form Type : HCFA Forms Format : Health Insurance Claim Form Sheet Size : 9-1/2" x 11" Lines : No Lines
Form Size : 8-1/2" x 11" Media Quantity : 1500 Binding Type : Continuous Number of Parts : 1
Carbonless : No # Up Per Sheet/Page : 1 NCR Paper : No Numbered : No
Holes Punched : None Personalization : No Security Features : No Certifications & Standards : SFI Sustainable Forestry Initiative
Post-Consumer Waste% : 0 Brand : ComplyRight Customizable : No
Weight : 1.00 lbs. per Box
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