CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total
SKU: 1039764
- 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.
$34.46
/Package
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
2.660
Carton Quantity
8 PK
Brand
TOPS
Manufacturer Stock Number
50135RV
GTIN
00025932513503
Returns
Returns are accepted within 30 days of purchase.
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