Item #: 125553 | Model #: CMS12W2
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/White, Pack of 1,000
Rollover image to zoom in
https://www.staples-3p.com/s7/is/image/Staples/s0800636_sc7?wid=512&hei=512

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/White, Pack of 1,000

No reviews yet
Share:
Delivered within 7-14 business days
$86.59
This item not available in stores
Qty:

Staples memberships could save you more | Learn More

Product Details
  • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
  • 1,000 per case
  • Form is "8.5x11"
Go to full description & specifications


86.59
86.59
https://www.staples-3p.com/s7/is/image/Staples/s0800636
00015171233836
TFP
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/White, Pack of 1,000
Product Description
TFP Cms-1500 health insurance claim form is printed on white/white 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 measuring 8.5" x 11" is as per government regulations, sold as 1000 per case.

  • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
  • 1,000 per case
  • Form is "8.5x11"
  • Carbonless form
  • Paper Sequence: white/white
  • 8 1/2" x 11"
  • 20 lb.
  • White
  • Printed with OCR "dropout" red ink per government regulations
  • 1,000 per case
  • Carbonless
  • NPI Compliance Guaranteed
Specifications
HR Form Type Cms-1500
HR Form Pack Size 1000
Width in Inches 9.5
Number of Parts 2
True Color White
Pack Qty 1
Reviews