Skip to content
View Your Cart
Have a question? Give us a call
Carpet Extractor Buying Tips
Water Fed Poles FAQ
Pressure Washer Buying Tips
Soft Wash Buying Tips
Sanitaire Commercial Vacuums
Add Upholstery Tool
Forms, Recordkeeping & Reference Materials
Forms & Recordkeeping Systems
TOPS™ Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms # TOP50124RV
Estimated Shipping Cost:
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.
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.
Share your knowledge of this product with other customers...
Be the first to write a review or ask a question
Chat with us
, powered by