TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

Our Price: $102.90 PK

Available on backorder

Description


TOPS™ Centers for Medicare and Medicaid Services (CMS) 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.

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.

**SPECIAL ORDER ITEM Please allow 7-14 days for delivery**

Keywords: Claim Form; Claim Forms; CMS; CMS-1500; Continuous Form; HCFA Claim Form; Health Care Claim Forms; Human Resources; Insurance Forms; Personnel; Personnel Forms; TOPS; Paperwork; Records; Documents; Pre-Printed; Record-Keeping

Additional information

Weight 11.375 lbs
Dimensions 11.375 × 9.000 × 11.375 in
Brand

Manufacturer Part Number

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