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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Box

See pricing info, deals and product reviews for ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Box at Quill.com. Order online today and get fast, free shipping for your business.
Item #: 901-CMS122
  Model #: CMS122
Brand: TFP
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Box
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Qty 1 2+
Price $79.99 $74.99
Qty. Savings 6%
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Description
TFP Cms-1500 health insurance claim form is printed on white/canary paper, sold as 1000 per case. TFP Cms-1500 Health insurance claim form is printed with OCR dropout red ink over #20 white paper. Form measures 8.5" x 11", sold as 1000 per case.
  • 8 1/2" x 11"
  • 20 lb.
  • White
  • Printed with OCR "dropout" red ink per government regulations
  • Pin fed
  • 1,000 per case
  • Carbonless
  • NPI Compliance Guaranteed
Specifications
Number of Parts : 2 HR Form Pack Size : 1000 HR Form Type : Cms-1500 Pack Qty : 1
True Color : White Width in Inches : 8.5 Brand : TFP
Weight : 1.00 lbs. per Box

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