TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$39.79
Per pack
(
$0.16/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
(18 reviews)
Item #:
901-2408453
Product details
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- 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
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$39.79
Per pack
(
$0.16/EACH
)
1 PACK = 250 EACH
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
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$37.80
Per pack
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$0.15/EACH
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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
