FORM,FORM,CMS1500(0212)LS
Manufacturer: TFP DATA SYSTEMS
Jahnda Part Number: 1373174
PK
Original price
$24.16
-
Original price
$24.16
Original price
$24.16
$24.16
-
$24.16
Current price
$24.16
Description
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Product Specification
| Characteristic | Value |
|---|---|
| Weight (lb.) | 2.6 lb |
| Items per Unit of Issue | 250 |
| UNSPSC | 14111806 |
| UNSPSC Segment | 14 |
| UNSPSC Family | 1411 |
| UNSPSC Class | 141118 |
| Country of Origin (subject to change) | United States |
| Length (in.) | 11.224 |
| Width (in.) | 8.714 |
| Height (in.) | 1.29 |