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TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms, 11 x 8 1/2, 250/Pack (50135R)

Item: TOP50135RV   Model: 50135RV
$23.49 250/Pack

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  • Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar.
  • Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning.
  • Brand: TOPS™

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.

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.

  • Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar.
  • Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning.
  • Brand: TOPS™
  • Product Type Refinement: Insurance Claim
  • Manufacturer: Tops Business Forms

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