Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250 Forms
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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
Specifications
Brand : TOPS
Customizable : No
HR Form Pack Size : 250
HR Form Type : Cms-1500
True Color : White/Red
Weight : 2.59 lbs. per Pack
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