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TOPS BUSINESS FORMS | SKU:
TOP50135RV
CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total
$33.49
Unit price
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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total is backordered and will ship as soon as it is back in stock.
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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No C...
$33.49
Unit price
/
Unavailable
Description
Description
Expedite Medicare, Medicaid or private insurance benefits
NUCC, CMS and AMA approved format
(02/12) version
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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
- Global Product Type : Insurance Forms
- Form Type Details : CMS-1500
- Dated/Undated : Undated
- Forms Per Page : 1
- Form Size : 8.5 x 11
- Format Indicator : Unbound
- Form Quantity (Total) : 250
- Copy Types : One-Part (No Copies)
- Principal Heading(s) : 1500 Health Insurance Claim Form
- Paper Color(s) : White
- Color Family : White
- Printer Compatibility : Laser
- Paper Stock : 20 lb Bond
- Print and Ruling Color(s) : OCR Red
- Pre-Consumer Recycled Content Percent : 0%
- Post-Consumer Recycled Content Percent : 0%
- Total Recycled Content Percent : 0%
- Special Features : Laser Printer Compatible
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