FORM,CMS-1500,INS,250/PK

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

SKU TOP50135RV Categories General Forms, Office Supplies

Description

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Product Specs

Manufacturer
UOM
Assembly Indicator
Box Pack Qty
Box Pack Unit
Carton Pack Qty
Carton Pack Unit
COO
Hazardous Material Code
Package Includes
Recycled Ctnt %-Total
UPS Indicator
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UPS Retail

TOPS BUSINESS FORMS
PK
N
0
8
PK
UNITED STATES
N
0%
Y
0014111806
025932513503

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