TOP50135RV TOP50135RV https://content.oppictures.com/master_images/master_variants/variant_500/207358.JPG CENTERS FOR MEDICARE AND MEDICAID SERVICES CLAIM FORMS, CMS1500/HCFA1500, 8 1/2 X 11, 250 FORMS/PACK 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. Planning TOPS 28.08 USD

CENTERS FOR MEDICARE AND MEDICAID SERVICES CLAIM FORMS, CMS1500/HCFA1500, 8 1/2 X 11, 250 FORMS/PACK

    TOP50135RV


    $28.08


    • 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.

    Colors:
    Brand:
    Size:
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.

Product Details
Code TOP50135RV
Unit Package of 250
Brand TOPS
Colour
Other Colours
Format N/A
Size 5 x 8
Type N/S
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