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Medicare and Medicaid ServicesForm, PK500
Mfr # 50126R
Zoro # G5883906
product price: $76.89
/pk 500, $0.15/ea
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$76.89
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Key Features
- Number of Sheets 1 Form per Page
- Features Laser Printer Compatible
- Style Forms
- Number of Duplicates One-Part (No Copies)
- Sheet Size 8.50 in W x 11 in L
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Product Information
- Brand Tops
- MFR # 50126R
- Zoro # G5883906
- UPC # 025932512605
- Country of Origin United States
- Category Record Keeping Journals & Forms
Dimensions
| Sheet Size | 8.50 in W x 11 in L |
| Form Size | 8.5 x 11 |
Details
| Item | Medicare and Medicaid ServicesForm,PK500 |
| Number of Sheets | 1 Form per Page |
| Features | Laser Printer Compatible |
| Style | Forms |
| Number of Duplicates | One-Part (No Copies) |
| Paper Color | White |
| Dated/Undated | Undated |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Paper Stock | 20 lb Bond |
| Print and Ruling Color | OCR Red |
| Number of Forms | 500 |
| Printer Compatibility | Laser |
| Format Indicator | Unbound |
| Number of Parts | 1 |
| Standards | SFI Certified |
| Post Consumer Waste | 0 |
| Printed Side | Back/Front |
Description
Medicare and Medicaid ServicesForm,PK500, Package Quantity 500
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