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Tops Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms (TOP50124R)

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  • Brand: Tops
  • Item Number: TOP 50124R
  • MPN: 50124R
  • UPC: 025932501241
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Summary

  • 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.
  • Includes 1500 forms.
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Full Description

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1.

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