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

Item: TOP50135RVModel: 50135RV
$23.79
250/Pack
(3)
Only Available Online
  • 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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