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TOPS CMS-1500 Health Insurance Claim Forms, 2-Part Carbonless, Continuous, 9.5 x 11 Inches, 1500 Sheets per Carton (50124RV)

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Product Information

  • CMS-1500 health insurance claim form
  • Printed in OCR red ink for scanning
  • Approved by CMS, NUCC and OMB
  • 2-part continuous
  • Made in the USA

Product Identifiers

AIDAlgopix unique identifier
AIDN6PU02001
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Shipping Dimensions

Width
12 in.
Length
12.4 in.
Height
10.3 in.
Weight
492.8 oz.

Product Dimensions

Length
9.5 in.
Height
11 in.
Weight
480 oz.

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