CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

SKU: 1039763

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.

$64.98 /Package

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Description

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.

Details

Weight

5.193

Carton Quantity

5 PK

Brand

TOPS

Manufacturer Stock Number

50126RV

GTIN

00025932512605

Returns

Returns are accepted within 30 days of purchase.

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