CMS 02/12 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms

Item #: PRB07102
by Paris Corporation
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Product Details

CMS 02/12 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 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 9 1/2 x 11
Forms Per Page 1
Form Quantity 2500
Sheet Size 9 1/2 x 11
Paper Stock 20 lb.
Paper Color(s) White
Footnote 1 One-part continuous feed, white
Special Features Centers for Medicare and Medicaid Services (CMS) Forms

Dimensions / Specifications
Unit of Measure CT
Item Weight 30.000 lbs
Ships via UPS? Yes
Carton Pack Quantity 2500 SH
This item is sold by the CT which contains 2500 SH
Warranty Offered? No
Manufacturer Info
Brand Paris Corporation  (website)
Brand Contact 800-523-6454
Warranty Offered? n
Manufacturer Stock No. 05102
Retail UPC 090146051028
Country of Origin US
UNSPSC Number 14111806
Meets ANSI/BIFMA? 090146051028
OTS Product ID 9147950

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Document printed / saved on 06/21/2018. Prices subject to change.