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FORM,LSR,HLTH,INSRNCE,FRM

CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

SKU ABFCMS1500L1V Categories , Tag
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Description

CMS Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 100 Forms Total

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. 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
  • UNSPSC Number
  • UPS Retail
  • CARDINAL BRANDS INC.
  • PK
  • N
  • 0
  • 5
  • PK
  • UNITED STATES
  • N
  • 0%
  • Y
  • 0014111806
  • 087958150018

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