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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
2 Sets - Magic Light Up Glow In the Dark Twisting Race Tracks - ( Totals 324 pcs )2 - G1000 Portable Zoomable Tactical LED Flashlight - 2000 Lumens
2 Tactical Dual Arch Beam Lighter - As Seen On TV USB Electric Plasma Torch Tac Lighter /w Gift Box Aluminum Charging RFID Blocking Wallet Power Bank - Phone Recharge Wallet
2 Tactical Dual Arch Beam Lighter - As Seen On TV USB Electric Plasma Torch Tac Lighter /w Gift BoxAluminum Charging RFID Blocking Wallet Power Bank - Phone Recharge Wallet
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. watering globes Zipper Pressure Compression Support Socks  - Open Toe - Knee High - 20-30mmHg - 2 Pairs
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 CMS Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms

CMS Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms

Availability: Discontinued      Condition: New
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CMS Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms
 
Price: $110.59
MSRP $156.98 You Save: $46.39 ( %30 )
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  Product Description Item: 2529834 Whats included | Features

One-part continuous feed, white Designed for durability during intensive use by individuals up to 300 lbs. High-density foam seat with heavy-duty mechanical control. Integral lumbar support. Inflatable lumbar pump provides personalized back support.
Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms. One-part continuous feed, white. Form Size: 9 1/2 x 11; Forms Per Page: 1.

One-part continuous feed, white Designed for durability during intensive use by individuals up to 300 lbs. High-density foam seat with heavy-duty mechanical control. Integral lumbar support. Inflatable lumbar pump provides personalized back support.


BRAND : DOCUGARD
FORM QUANTITY : 2500
FORM SIZE : 9 1/2 X 11
FORMS PER PAGE : 1
GLOBAL PRODUCT TYPE : FORMS-MEDICARE/MEDICAID
GREEN INDEX : N
PAPER COLOR(S) : WHITE
PAPER STOCK : 20-LB.
QUANTITY : 2500 PER CARTON
RECYCLABLE : N
SHEET SIZE : 9 1/2 X 11
SPECIAL FEATURES : CMS 1500 FORMS (FORMERLY KNOWN AS HCFA 1500)
UNIT OF MEASURE : CT
Includes dot Features
  • CMS Forms, 1 Part Continuous White, 9 1/2 x 11, 2500 Forms
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  • Condition : NEW


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