TOPS Centers for Medicare and Medicaid Services (CMS) forms

TOPS Centers for Medicare and Medicaid Services (CMS) forms

(TOP50122R)
Sold As: 3,000 Sets
Our Price $101.20

Estimated Delivery:
Tue 12/13 to Wed 12/14
Inventory In Stock: 52
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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 is required in some states. 20-lb. white paper; OCR red ink for scanning. 8 1/2" x 11".
COLOR: White
ALTERNATE ITEM #: 271541, B003NGUWFQ

UPC: 025932501227

MANUFACTURER NAME: TOPS
ITEM #: TOP50122R

Product Type: General Forms
SPECS
Weight :32 lb(s)
Brand:TOPS
Case Pack:3,000 Sets
Color:White
Dimensions:8 1/2" x 11"
Format:Continuous Form
Layout:One Form per Sheet
Paper Stock:20-lb.
Principal Heading(s):1500 Health Insurance Claim Form
Print and Ruling Color(s):OCR Red
Printer Compatibility:Dot Matrix
Product Type:Insurance Claim
Punching:Dot Matrix Holes

White General Forms from TOPS! 52 In Stock today.
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TOPS Centers for Medicare and Medicaid Services (CMS) forms (TOP50122R) On Sale

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