TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
                
            
                         $36.99 
                    
                        Per  pack
                                  ($0.15/EACH)  
                TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
        Item #:
        901-2408453
    
        
            Model #:
            50135RV
        
            
            Brand:
            TOPS
        
                
                    
                                (13 reviews)
                    
                    
                
                
                
    
                    Item #:
                    901-2408453
                
            
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                         $36.99 
                    
                        Per  pack
                                  $0.15/EACH  
                
                            1 PACK = 250 EACH
                                
                        
                
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                                    TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
                                
                                
Frequently bought together
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                    Total
                    $198.97
                
                
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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
                
     
                     
                                                