TOPS™ Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack

TOPS™ Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack - M-870914-3953 - Pack of 1

$52.99
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TOPS™

Forms

In Stock

M-870914-3953

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$52.99
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Delivery - 7-10 Days, Ship Directly from Manufacturer

  • 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.

    • Item Id 870914
    MF ID TOP-50135RV
    Manufacturer TOPS™
    Form Quantity 250
    Form Size 8.5 x 11
    Forms Per Page 1
    Global Product Type Forms-Insurance
    Layout One Form per Sheet
    Paper Color(s) White
    Paper Stock 20-lb.
    Post-Consumer Recycled Content Percent 0%
    Pre-Consumer Recycled Content Percent 0%
    Principal Heading(s) 1500 Health Insurance Claim Form
    Print and Ruling Color(s) OCR Red
    Printer Compatibility Laser
    Special Features For Laser Printers
    Total Recycled Content Percent 0%
    UNSPSC 14111806

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