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TOPS - Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack - Red and White

Model: 50135RV
SKU: 11199686

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About this product

CMS-1500 claim forms 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.

Features
  • 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

  • Made in the USA

  • 250 forms per pack

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Specifications
  • Brand
    TOPS
    Model Number
    50135RV
    Product Name
    Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack
    Color
    Red and White
    Number Of Forms Included
    250
    Product Width
    8.5 inches
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