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CMS 02/12 Insurance Claim Form, 8 1/2 x 11, 250 Forms

Item #: PRB07104
by Paris Corporation
Made in USA
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Delivery in 1 - 2 business days
Nationwide Stock: 178 RM
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Product Details

CMS 02/12 Insurance Claim Form, 8 1/2 x 11, 250 Forms

Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.


Product Specifications

Item Specifications
Brand Paris Corporation
Global Product Type Forms-Insurance
Form Size 8 1/2 x 11
Forms Per Page 1
Form Quantity 250
Sheet Size 8 1/2 x 11
Paper Stock 20 lb.
Paper Color(s) White
Special Features Centers for Medicare and Medicaid Services (CMS) Forms

Dimensions / Specifications
Unit of Measure RM
Item Weight 2.650 lbs
Ships via UPS? y
Carton Pack Quantity 10 RM
This item is sold by the RM

Catalog Information
Catalog Page No.'s EVERYTHING FOR THE WORKPLACE 2012: Page 954
EVERYTHING FOR THE WORKPLACE 2013: Page 955
EVERYTHING FOR THE WORKPLACE 2014: Page 967
EVERYTHING FOR THE WORKPLACE 2014: Page 967
EVERYTHING FOR THE WORKPLACE 2015: Page 983
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2015: Page 983
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2016: Page 979
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2017: Page 911
Manufacturer Info
Brand Paris Corporation  (website)
Brand Contact 800-523-6454
Manufacturer Stock No. 04104
Retail UPC 090146171047
Country of Origin US
Tariff (Inbound) Code
UNSPSC Number 14111806
Meets ANSI/BIFMA? 090146171047
OTS Product ID 9146010

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Document printed / saved on 06/27/2017. Prices subject to change.