Item #: 125554 | Model #: CMS122
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Canary, Pack of 1,000
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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Canary, Pack of 1,000

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$88.59
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Product Details
  • 8 1/2" x 11"
  • 20 lb.
  • White
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88.59
88.59
https://www.staples-3p.com/s7/is/image/Staples/s0800636
00015171233638
TFP
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Canary, Pack of 1,000
Product 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
HR Form Type Cms-1500
HR Form Pack Size 1000
Width in Inches 8.5
Number of Parts 2
True Color White
Pack Qty 1
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