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Paris Corporation CMS 02/12 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms
Product Number: PRB07116
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Product Description
Paris Corporation CMS 02/12 Insurance Claim Form, 2-Part, White/Canary, 9 1/2 x 11, 1000 Forms
Description:
Expedite Medicare, Medicaid or private insurance benefits. Conforms with federal regulations.
- Conform to government regulations.
- Used for Medicaid, Medicare and federal insurance regulations.
Product Specifications
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Assembly RequiredNo
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Brand NameParis Corporation
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Copy Paper Color(s)Canary
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Copy TypesCarbonless Duplicate
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Country of OriginUnited States
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Footnote 1Two-part continuous feed, white/canary. Carbonless
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Form Quantity1000
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Form Size9 1/2 x 11 9 1/2 x 11
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Forms Per Page1
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Global Product TypeForms-Insurance
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Paper Color(s)White Canary
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Paper Stock20 lb.
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RecycledNo
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Sheet Size9 1/2 x 11
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Special FeaturesCenters for Medicare and Medicaid Services (CMS) Forms