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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
  • Conform to government regulations.
  • Used for Medicaid, Medicare and federal insurance regulations.
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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 - Expedite Medicare, Medicaid or private insurance benefits. Conforms with federal regulations.

  • Conform to government regulations.
  • Used for Medicaid, Medicare and federal insurance regulations.
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Product Specifications

  • Assembly Required
    No
  • Brand Name
    Paris Corporation
  • Copy Paper Color(s)
    Canary
  • Copy Types
    Carbonless Duplicate
  • Country of Origin
    United States
  • Footnote 1
    Two-part continuous feed, white/canary. Carbonless
  • Form Quantity
    1000
  • Form Size
    9 1/2 x 11 9 1/2 x 11
  • Forms Per Page
    1
  • Global Product Type
    Forms-Insurance
  • Paper Color(s)
    White Canary
  • Paper Stock
    20 lb.
  • Recycled
    No
  • Sheet Size
    9 1/2 x 11
  • Special Features
    Centers for Medicare and Medicaid Services (CMS) Forms
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