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Boxes of 2,500 Forms Boxes of 2,500 Forms
Medical Forms CMS12LC-1
Medical Forms CMS12LC-1 Medical Forms CMS12LC-2

Blank CMS-1500 (HCFA) Form 02/12 for Laser Printers

CMS-1500 Laser Forms (Version 02/12) are: 100% compliant Printed to exact specifications for layout, paper and ink Uses soy-based black and OCR "dropout" red ink for greater scanning accuracy Designed for use with most laser or inkjet printers or can be handwritten Feature Anti-Rejection Protection™ - guaranteed acceptance by insurance carriers for rejection proof claim filing Printed on Sustainable Foresty Initiative (SFI) paper Size: 8.5" x 11" Available in Boxes of 2,500 Forms
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SKU: CMS12LC
$79.95

CMS-1500 Laser Forms (Version 02/12) are:
100% compliant
Printed to exact specifications for layout, paper and ink
Uses soy-based black and OCR "dropout" red ink for greater scanning accuracy
Designed for use with most laser or inkjet printers or can be handwritten
Feature Anti-Rejection Protection™ - guaranteed acceptance by insurance carriers for rejection proof claim filing
Printed on Sustainable Foresty Initiative (SFI) paper
Size: 8.5" x 11"

Boxes of 2,500

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UB04 Laser Forms are fully updated with the latest form revisions. The form is 100% compliant with UCCI requirements and designed for use with most laser or inkjet printers. Form measurements: 8.5 X 11 Uses OCR "dropout" red ink for greater scanning accuracy Available in Boxes of 2,500 Forms

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