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CMS 02/12 Insurance Claim Form, 8 1/2 x 11, 500 Forms

IMG
IMG
IMG
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.
$17.53USDRetail $35.37
  • Expedite Medicare, Medicaid or private insurance claims processing.
  • Forms meet all Federal regulations.
  • Formerly known as HCFA-1500 forms.
    • Manufacturer:
    PARIS CORPORATION
    Item:
    07106
    UPC Code:
    090146071064
    Condition
    New
    Extended Warrenty
    1 Year Extended Warrenty$3.51
    $17.53USD 
     $35.37
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    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

    Application/Usage
    Banner
    Application/Usage
    Document
    Brand Name
    GBC
    Certifications & Standards

    cUL approved
    Color
    Blue
    Color
    Blue
    Color
    Blue
    Color
    Gray
    Color
    Gray
    Color
    Gray
    Country of origin
    Taiwan
    Country of Origin
    Taiwan
    Country of origin
    Taiwan
    Features
    Standby Mode
    Features
    Variable Speed
    Features
    Auto Shutoff
    Form Quantity
    500
    Form Size
    8 1/2 x 11
    Forms Per Page
    1
    Global Product Type
    Forms-Insurance
    Height
    24.5"
    Height
    24.5"
    Height
    24.5"
    Laminator Type
    Roll
    Length
    42"
    Length
    42"
    Length
    42"
    Manufacturer
    ACCO Brands Corporation
    Manufacturer Part Number
    1701700
    Manufacturer Website Address
    http://www.acco.com
    Maximum Lamination Thickness
    3 mil
    Maximum Lamination Width
    27"
    Maximum Warm-up Time
    10 Minute
    Minimum Lamination Thickness
    1 mil
    Minimum Warm-up Time
    8 Minute
    Packaged Quantity
    1
    Paper Color(s)
    White
    Paper Stock
    20 lb.
    Processing Method
    Hot
    Product Name
    Pinnacle 27 Thermal Roll Laminator NAP I/II 27" Max. Width 8-10 Min Warm-Up
    Product Type
    Hot Laminator
    Recycled
    No
    Rollers
    2
    Sheet Size
    8 1/2 x 11
    Special Features
    Centers for Medicare and Medicaid Services (CMS) Forms
    Special_Benefit_Statement
    (02/12) version
    Speed
    10 ft/min
    Status Indicators
    • LED Light
    • Audible Alert
    Width
    15"
    Width
    15"
    Width
    15"
    Features
    Variable Speed
    Features
    Standby Mode
    Features
    Auto Shutoff
    Recycled
    No
    Recycled
    No
    Speed
    10 ft/min
    Before buying, check the specifications and configuration :

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