Details
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.Dimensions
| WEIGHT | LENGTH | WIDTH | HEIGHT |
|---|---|---|---|
| 5.1 | 11.00 | 8.50 | 2.20 |
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Safety Data Sheet
Attention CA Residents:
Prop 65 WarningWARNING : This product can expose you to chemicals including lead, which are known to the State of California to cause cancer, birth defects, or other reproductive harm. For more information, go to www.p65warnings.ca.gov.
Details
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.
DIMENSIONS
Dimensions
| WEIGHT | LENGTH | WIDTH | HEIGHT |
|---|---|---|---|
| 5.1 | 11.00 | 8.50 | 2.20 |
Reviews
0 Reviews
SAFETY DATA SHEET
