Tops Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms (TOP50135R)

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  • Brand: Tops
  • Item Number: TOP 50135R
  • MPN: 50135R
  • UPC: 025932501357

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 250 forms.

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Size: 8 1/2 x 11; Forms Per Page: 1.