TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$26.09
Per pack
($0.10/EACH)
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #:
901-2408453
Model #:
50135RV
Brand:
TOPS
4.8
(16 reviews)
Item #:
901-2408453
$26.09
Per pack
$0.10/EACH
1 PACK = 250 EACH
Free delivery
Tomorrow, May 21
(Order within the next 11 hr and 48 min to be eligible to get this item tomorrow)
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Save up to 10% on every order, plus free shipping and more. Try our calculator tool to see your savings.
Extra 5% off
$24.79
Per pack
$0.10/EACH
Frequently bought together
+
+
Total
$134.07
Description
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.
CMS-1500 claim forms 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.
- 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
- Made in the USA
- 250 forms per pack
Specifications
Brand
TOPS
Form Size
8 1/2" x 11"
Length in Inches
11
Made in America
Yes
Medical Form Pack Size
250
Number of Parts
1
Pack Qty
1
Series or Collection
Centers for Medicare and Medicaid Services
True Color
Red and White
Width in Inches
8.5
