TOPS® CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms
April 24th, 2011
TOPS® CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms
- Manufactured by: TOPS®
- Sold as 250 EA
TOPS® CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms
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. Global Product Type: Forms-Insurance Claim; Form Size (W x H): 8 1/2 in x 11 in; Format: Loose Form; Forms Per Page: N/A.
SKU: TOP50135R – Sold as 250 EA
List Price: $ 20.42
Price: $ 16.99
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