Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms
New
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.
$211.18 USD Retail $213.31 |
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Product Specifications
Copy Types | Two-Part Carbonless |
Footnote 1 | Carbonless Duplicate |
Footnote 1 | Carbonless Duplicate |
Footnote 1 | Carbonless Duplicate |
Form Quantity | 1500 |
Form Quantity | 1500 |
Form Quantity | 1500 |
Form Size | 8 1/2 x 11 |
Forms Per Page | 1 |
Layout | One Form per Sheet |
Paper Color(s) | White |
Paper Color(s) | White |
Paper Color(s) | White |
Paper Stock | 20-lb. |
Post-Consumer Recycled Content Percent | 0% |
Post-Consumer Recycled Content Percent | 0% |
Post-Consumer Recycled Content Percent | 0% |
Pre-Consumer Recycled Content Percent | 0% |
Pre-Consumer Recycled Content Percent | 0% |
Pre-Consumer Recycled Content Percent | 0% |
Principal Heading(s) | 1500 Health Insurance Claim Form |
Print and Ruling Color(s) | OCR Red |
Printer Compatibility | Dot Matrix |
Product Type | Forms-Insurance |
Product_Description | FORMCMS 1500 2-PARTWE |
Punching | Dot Matrix Pin Feed Holes |
Special Features | Carbonless Duplicate-Continuous Form. |
Special Features | Carbonless Duplicate-Continuous Form. |
Special Features | Carbonless Duplicate-Continuous Form. |
Total Recycled Content Percent | 0% |
Total Recycled Content Percent | 0% |
Total Recycled Content Percent | 0% |
Copy Types | Two-Part Carbonless |
Form Size | 8 1/2 x 11 |
Forms Per Page | 1 |
Layout | One Form per Sheet |
Paper Stock | 20-lb. |
Principal Heading(s) | 1500 Health Insurance Claim Form |
Print and Ruling Color(s) | OCR Red |
Printer Compatibility | Dot Matrix |
Product_Description | FORMCMS 1500 2-PARTWE |
Punching | Dot Matrix Pin Feed Holes |
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.
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