Sub total:
$138.00
total:
$138.00
CMS 02/12 Insurance Claim Form, 8 1/2 x 11, 250 Forms
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.
| $8.08USD | Retail $19.85 |
Manufacturer:
PARIS CORPORATION
Item:
07104
UPC Code:
090146171047
Condition
New
Extended Warrenty
| 1 Year Extended Warrenty | $1.62 |
$8.08USD
$19.85
$19.85
Availability
In Stock
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Product description
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.
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