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HCFA CMS-1500 (2 part)

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Description
Continuous Health Insurance Claim Form - 2 Part Carbonless
New Form CMS-1500 APPROVED OMB-0938-0999
 
Description: Price Per Set:
  • Item: HCFA 2 / CMS-1500
  • Format: CONTINUOUS (Duplicate)
  • Type: Two Part for pin feed printer
  • Size: 8-1/2" X 11"
  • Weight: White 20# and Canary 15#
1000 $42.99
2000:  $79.99
3000:  $114.95

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