CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
Out of stock. Contact our office to place on backorder.
Item Code: TFP650657
Category
Forms
Manufacturer TFP Data Systems
Specifications
Made In
US
UNSPSC Code
14111806
Weight
1.07lb
Height
0.31in
Width
8.52in
Length
11.06in
Brand
ComplyRight
Category
Forms
Color Family
White
Copy Types
One-Part (No Copies)
Dated/undated
Undated
Form Quantity (Total)
100
Form Size
8.5 x 11
Form Type Details
CMS-1500
Format Indicator
Unbound
Forms Per Page
1
Global Product Type
Insurance Forms
Paper Color(s)
White
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Sheet Size
8.5 x 11
Total Recycled Content Percent
0%
Description
Starting from
$5.54
/ PK
LIST PRICE
$6.99
21%
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