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Tops Centers for Medicare and Medicaid Services Forms, 3000 Forms (TOP50122RV)

Tops Centers for Medicare and Medicaid Services Forms, 3000 Forms (TOP50122RV)
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$155.61 /Carton

$88.70 /Carton

(Save 43%)


$82.49 /Carton

(Save 47%)

Tops Business Forms Centers for Medicare and Medicaid Services Forms, 3000 Forms
  • Product SKU: TOP50122RV
  • Includes 3000 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.

Product Details

Centers for Medicare and Medicaid Services Forms

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 3000; Principal Heading(s): 1500 Health Insurance Claim Form.

Tops Centers for Medicare and Medicaid Services Forms, 3000 Forms

Product Specifications

  • Global Product Type: Forms-Insurance Claim
  • Form Size: 8 1/2 x 11
  • Forms Per Page: 1
  • Form Quantity: 3000
  • Principal Heading(s): 1500 Health Insurance Claim Form
  • Layout: One Form per Sheet
  • Punching: Dot Matrix Holes
  • Printer Compatibility: Dot Matrix
  • Paper Stock: 20-lb.
  • Paper Color(s): White
  • 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: Continuous Form
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