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2 Sets - Magic Light Up Glow In the Dark Twisting Race Tracks - ( Totals 324 pcs ) 2 - G1000 Portable Zoomable Tactical LED Flashlight - 2000 Lumens
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Large Aqua Glass Plant Watering Globes - Automatic Self Watering System Insert Spikes - Indoor/Outdoor Plant Drip Irrigation - Easy Plant Care for Potted Flowers, Herbs, and Houseplants - 20z 4pc Set - Multicolor.Zipper Pressure Compression Support Socks - Open Toe - Knee High - 20-30mmHg - 2 Pairs
Portable Folding Table Laptop Tray - Adjustable Bed Desk Tray with Cup Holder for Eating, Drawing, Sofam Home Office - Lightweight Ergonomic Design - TV Dinner Tray, 6 Heights & 3 Tilt Angles table maid Car Door Assist Handle Aid Cane for Elderly, Handicap Support, Mobility Transfer & Vehicle Exit -  Automotive Safety Grip Tool
Portable Folding Table Laptop Tray - Adjustable Bed Desk Tray with Cup Holder for Eating, Drawing, Sofam Home Office - Lightweight Ergonomic Design - TV Dinner Tray, 6 Heights & 3 Tilt AnglesCar Door Assist Handle Aid Cane for Elderly, Handicap Support, Mobility Transfer & Vehicle Exit - Automotive Safety Grip Tool




Sale Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms

Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms

Availability: Discontinued      Condition: New
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Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms
 
Price: $21.85
MSRP $24.96 You Save: $3.11
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  Product Description Item: 2562970 Whats included | Features


Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning.
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.


BRAND : TOPS
FORM QUANTITY : 250
FORM SIZE : 8 1/2 X 11
FORMS PER PAGE : 1
GLOBAL PRODUCT TYPE : FORMS-INSURANCE CLAIM
GREEN INDEX : N
LAYOUT : ONE FORM PER SHEET
PAPER COLOR(S) : WHITE
PAPER STOCK : 20-LB.
POST-CONSUMER RECYCLED CONTENT PERCENT : 0 %
POST-CONSUMER RECYCLED CONTENT PERCENT : 0 %
PRE-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
PRINTER COMPATIBILITY : LASER
RECYCLABLE : N
SPECIAL FEATURES : FOR LASER PRINTERS
TOTAL RECYCLED CONTENT PERCENT : 0%
UNIT OF MEASURE : PK
Includes dot Features
  • Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms
  • dot
  • Condition : NEW


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