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TOP50126R Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms By TOPS BUSINESS FORMS

TOP50126R Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms By TOPS BUSINESS FORMS

Item # TOP50126R
Brand: TOPS®
Reg. $42.52
Sale $28.07
(You Save 34%)
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. 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(D) x 8.5(W) x 2.2(H)
  • Includes 500 forms.

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