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Offer good through 8/15/22.

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets

Order ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-CMS12650657
  Model #: 650657
Brand: ComplyRight
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
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$6.99 Pack
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Product Reviews
Brand
HR Form Pack Size
Length in Inches
Number of Parts
Pack Qty
Width in Inches
Acid Free
Binding Position
Color Family
Depth in Inches
Hole Punched
HR Form Type
Notepad Binding
Notepad Cover Material
Notepad Type
Number of Pads
Number Of Sheets
Number Sheets Per Pad
Perforation
Rule Type
Series or Collection
Sheet Dimension
True Color
Customizable
ComplyRight
100
11
1
100
8.5
N/A
N/A
N/A
N/A
N/A
Cms-1500
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Multicolor
No
Quill Brand
N/A
N/A
N/A
N/A
N/A
Non Acid Free
Side
Multicolor
0.63
No
N/A
Spiral
N/A
Message Pad
1
151 to 200
200
Perforated
Other
Quill Message Book
8.5" x 11" (US letter)
Pink/Yellow
N/A

Adams Phone Message Pad, 5.5" x 11", Ruled, White/Canary, 100 Sheets/Pad (SC1154D)

Adams Phone Message Pad, 5.5 x 11, Ruled, White/Canary, 100 Sheets/Pad (SC1154D)
$10.29 Book When you buy 20+
Adams
N/A
N/A
N/A
N/A
N/A
Non Acid Free
Side
Multicolor
0.63
No
N/A
Spiral
N/A
Message Pad
1
76 to 100
100
Perforated
Other
Adams Message Pad
Other
White/Canary
N/A
Rediform
N/A
N/A
N/A
N/A
N/A
N/A
Side
White
N/A
No
N/A
Spiral
Flexible printed board
Message Pad
1
76 to 100
100
N/A
Other
Detail
Other
White
N/A
Rediform
N/A
N/A
N/A
N/A
N/A
N/A
Side
White
N/A
No
N/A
Spiral
Flexible printed board
Message Pad
1
76 to 100
100
N/A
Other
Follow-up
8" x 11"
White
N/A
ComplyRight
100
11
N/A
100
8.5
N/A
N/A
N/A
N/A
N/A
Dental Claims
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Black/White
N/A

Adams Attendance Records, 50/Pack (ABF 9493)

Adams Attendance Records, 50/Pack (ABF 9493)
$7.49 Pack When you buy 10+
Adams
50
N/A
N/A
1
8.5
N/A
N/A
N/A
N/A
N/A
Attendance Records
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
White
N/A
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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, scannable, OCR ink
  • Guaranteed to comply with all government standards for paper, ink and layout.
  • 8-1/2" x 11"
  • For laser or inkjet printers
  • 100 sheets
Specifications
Brand : ComplyRight Customizable : No HR Form Pack Size : 100 HR Form Type : Cms-1500
Length in Inches : 11 Number of Parts : 1 Pack Qty : 100 True Color : Multicolor
Width in Inches : 8.5
Weight : 1.00 lbs. per Pack
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