TOP50135R Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms By TOPS BUSINESS FORMS
Item # TOP50135R
Brand: TOPSŪ
Reg. $23.44
Sale $17.49
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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(D) x 8.5(W) x 1.1(H)
- Includes 250 forms.
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