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Centers For Medicare And Medicaid Services Claim Forms, Cms1500/hcfa1500, 8 1/2 X 11, 500 Forms/pack

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  • Forms-Insurance

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. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.

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. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.

Form Quantity 500
Form Size 8.5 x 11
Forms Per Page 1
Global Product Type Forms-Insurance
Layout One Form per Sheet
Paper Color(s) White
Paper Stock 20-lb.
Post Recycled % 0%
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
Printer Compatibility Laser
Recycled Content % 0%
Special Features For Laser Printers
Total Recycled % 0%