CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5

CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 250 Forms
- (CMS 1500) Health Insurance Claim Form, Laser / Ink-JetFormat
- 1 Part 9-1/2 x 11
- Printed in OCR red ink for scanning
- Approved by CMS, NUCC and OMB
Country USA
Brand Generic
Manufacturer TOPS
Binding Office Product
ItemPartNumber 50122RV
Model 50122RV
ReleaseDate 0000-00-00

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CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 250 Forms