Item #: 125542 | Model #: CMS121
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 1-Part Continuous, White, Pack of 2,500 (CMS121)
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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 1-Part Continuous, White, Pack of 2,500 (CMS121)

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$80.89
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Product Details
  • 8 1/2" x 11"
  • 20 lb.
  • White
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80.89
80.89
https://www.staples-3p.com/s7/is/image/Staples/s0800636
00015171233584
TFP
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 1-Part Continuous, White, Pack of 2,500 (CMS121)
Product Description
TFP Cms-1500 health insurance claim form is printed on white paper, sold as 2500 per case.

TFP Cms-1500 Health insurance claim form is printed with OCR dropout red ink over #20 white paper. Form measuring 8.5" x 11" is as per government regulations, sold as 2500 per case.

  • 8 1/2" x 11"
  • 20 lb.
  • White
  • Printed with OCR "dropout" red ink per government regulations
  • 2,500 per case
  • NPI Compliance Guaranteed
Specifications
HR Form Type Cms-1500
HR Form Pack Size 2500
Width in Inches 8.5
Number of Parts 1
True Color White
Pack Qty 1
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