ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Box
$84.99
Per box
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Box
Item #:
901-CMS122
Model #:
CMS122
Brand:
TFP
(3 reviews)
Item #:
901-CMS122
Customers also viewed
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
Item #: 901-CMS12650657
Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms
Item #: 901-2408453
ComplyRight™ Connecticut Job Application, Pack of 50 (A2179CT)
Item #: 901-1182917EDI
ComplyRight Expandable Confidential Personnel Envelo-File® (A0720)
Item #: 901-1949187
Description
TFP Cms-1500 health insurance claim form is printed on white/canary paper, sold as 1000 per case.
TFP Cms-1500 Health insurance claim form is printed with OCR dropout red ink over #20 white paper. Form measures 8.5" x 11", sold as 1000 per case.
- 8 1/2" x 11"
- 20 lb.
- White
- Printed with OCR "dropout" red ink per government regulations
- Pin fed
- 1,000 per case
- Carbonless
- NPI Compliance Guaranteed
Specifications
Brand
TFP
Form Size
8 1/2" x 11"
Length in Inches
11
Medical Form Pack Size
1000
Medical Form Type
Health Insurance Claims
Number of Parts
2
Pack Qty
1
Print Type
Continuous
True Color
White
Width in Inches
8.5
Accessories
