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Forms & Books > Claim Forms & Envelopes > Medical Claim Forms > CMS-1500 > Pin Feed CMS 1500 >

CMS-1500 2-Part Health Insurance Claim Form; White/Yellow, Pinfeed

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Item # 174-CMS2


$70.29
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$73.99
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2-part pinfeed White/yellow 1,000 forms per carton Printed in red "dropout" ink with 1500 symbol and rectangle printed in black Designed for processing on high-speed OCR (Optical Character Recognition) scanning equipment Approved by the National Uniform Claim committee (NUCC) Updates existing CMS-1500/HCFA-1500 claim form

RecycledRecycled
Product Information
Form Type :
Insurance
Format :
Health Insurance Claim Form
Sheet Size :
9-1/2" x 11"
Form Size :
8-1/2" x 11"
Media Quantity :
1000
Binding Type :
Continuous
Paper Color :
White
Number of Parts :
2
Carbonless :
Yes
# Up Per Sheet/Page :
1
NCR Paper :
No
Numbered :
No
Holes Punched :
None
Personalization :
No
Security Features :
No
Miscellaneous
Brand Name :
TFP
Country of Origin :
USA
Recycled :
Yes
Weight
Weight :
21.00 lbs. per Carton
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