TOPS - Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack - Red and White
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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.
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
- BrandTOPSModel Number50135RVProduct NameCenters for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/PackColorRed and WhiteNumber Of Forms Included250Product Width8.5 inches
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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.

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