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TOPS™ Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms # TOP50124RV
TOPS™ Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms # TOP50124RV
 
Sale Price: $141.00
Estimated Shipping Cost: $24.25

Product Code: TOP-50124RV
Quantity:

Description
 
Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar.

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. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 1500; Principal Heading(s): 1500 Health Insurance Claim Form.
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.

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Universal File Folders, 1/3 Cut Assorted, One-Ply Top T Dixie Hot Cups, Paper, 8 oz., Coffee Dreams Design, 500 Boardwalk® Bath Tissue, Two-Ply, 500 Sheets/Roll, White, 96 Rolls/Case # BWK6180

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