TOP50124R Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms By TOPS BUSINESS FORMS
Item # TOP50124R
Brand: TOPSŪ
Reg. $191.48
Sale $142.07
(You Save 26%)
Out of Stock - Usually ships the next business day
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Description
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1.
Specifications
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- Top sensor bar for microfiche duplication, as required in some states.
- OCR red ink for scanning.
- Dimension With Packaging: 11.625(D) x 10.125(W) x 12.5(H)
- Includes 1500 forms.
Green Product
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