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HCFA CMS-1500 (1 part)

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Description
Continuous Health Insurance Claim Form (for tractor feed printers)
New Form CMS-1500 APPROVED OMB-0938-0999
 
Description: Price Per Sheet:
  • Item: HCFA 1 / CMS-1500
  • Format: Laser Form CMS-1500
  • Type: One Part for pin feed printer
  • Size: 8-1/2" X 11"
  • Weight: 20#
2500:  $47.90
5000:  $79.90

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