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CONTRACT ID
-

47QSCCD0007


VENDOR
-

ESSENDANT


COUNTRY OF ORIGIN
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United States


GREEN INDICATOR
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N


ASSEMBLY INDICATOR
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N


ITEM DEPTH
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11.062


ITEM HEIGHT
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0.312


ITEM WIDTH
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8.515


ITEM WEIGHT
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1.065


UNIT OF MEASURE QTY
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100


BRAND
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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total