(Price/CT)Tops TOP50122RV Centers For Medicare And Medicaid Services Forms, 3000 Forms/carton

(Price/CT)Tops TOP50122RV Centers For Medicare And Medicaid Services Forms, 3000 Forms/carton

Price is for CT. Manufacturer Part Number: TOP50122RV Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar. Global Product Type: Forms-Insurance Claim Printer Compatibility: Dot Matrix Principal Heading(s): 1500 Health Insurance Claim Form Punching: Dot Matrix Pin Feed Holes Form Size: 11 x 8 1/2 Forms Per Page: 1 Form Quantity: 3000 Layout: One Form per Sheet Paper Stock: 20-lb. Paper Color(s): White Print and Ruling Color(s): OCR Red Pre-Consumer Recycled Content Percent: 0% Post-Consumer Recycled Content Percent: 0% Total Recycled Content Percent: 0% Special Features: Continuous Form Carton Pack Quantity: 3000 SH Country Of Origin: US Carton Weight: 32.0 lbs. UPC: 025932501227 UNSPSC: 14111806 NOTE: International/P.O. Boxes deliveries are not available. The images are just for your reference. Price is only for Model #: TOP50122RV. The item can't be shipped to PR in the Unite States.