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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets

Order ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-CMS12650657
  Model #: 650657
Brand: ComplyRight
  • ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
$6.99 Pack
1 PAD = 1 PACK
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Description
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Description
  • Designed for filing Medicare part B claims as well as claims to commercial insurance companies
  • Includes the newest NUCC revisions
  • Printed in red, scannable, OCR ink
  • Guaranteed to comply with all government standards for paper, ink and layout.
  • 8-1/2" x 11"
  • For laser or inkjet printers
  • 100 sheets
Specifications
Brand : ComplyRight Customizable : No HR Form Pack Size : 100 HR Form Type : Cms-1500
Length in Inches : 11 Number of Parts : 1 Pack Qty : 100 True Color : Multicolor
Width in Inches : 8.5
Weight : 1.00 lbs. per Pack
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