CMS 02/12 Insurance Claim Form, 8 1/2 x 11, 250 Forms
New
Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing and meet all federal guidelines.
| $8.08 USD Retail $19.85 |
Extended Warrenty
| 1 Year Extended Warrenty | $1.62 |
You may be also interested
$2.50
$3.87
$7.70
$6.46
$62.50
$62.50
$3.24
$5.11
$9.23
$2.46
$4.92
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
Product Specifications
| Brand Name | GBC |
| Color | Clear |
| Color | Clear |
| Color | Clear |
| Compatibility | GBC - Pinnacle 27 EZload Laminator |
| Compatibility | GBC - Pinnacle 27 EZload Laminator |
| Compatibility | GBC - Pinnacle 27 EZload Laminator |
| Country of origin | China |
| Country of Origin | China |
| Country of origin | China |
| Environmentally Friendly | Yes |
| Form Quantity | 250 |
| Form Size | 8 1/2 x 11 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance |
| Laminating Sheet Length | 500 ft |
| Laminating Sheet Thickness | 1.70 mil |
| Laminating Sheet Width | 25" |
| Manufacturer | ACCO Brands Corporation |
| Manufacturer Part Number | 3748203EZ |
| Manufacturer Website Address | http://www.acco.com |
| Material | Polyester |
| Material | Polyester |
| Material | Polyester |
| Packaged Quantity | 2 / Box |
| Paper Color(s) | White |
| Paper Stock | 20 lb. |
| Product Line | EZload |
| Product Name | EZ Load Laminating Roll Film |
| Product Type | Laminating Roll |
| Recycled | No |
| Sealing Process | Hot-run |
| Sheet Size | 8 1/2 x 11 |
| Special Features | Centers for Medicare and Medicaid Services (CMS) Forms |
| Special_Benefit_Statement | (02/12) version |
| Surface Finish | Glossy |
| Recycled | No |
| Recycled | No |
Material Safety Data Sheet
A Material Safety Data Sheet (MSDS) is a document that contains information on the potential hazards (health, fire, reactivity and environmental) and how to work safely with the chemical product.
Sorry this product does not have any reviews at this time.
Recently Viewed Products
Time to Rendor : 0.4394531
Powered by Power-eCommerce.com