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Tops Centers for Medicare and Medicaid Services Forms, 250 Forms (TOP50135RV)

Tops Centers for Medicare and Medicaid Services Forms, 250 Forms (TOP50135RV)
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$24.96 /Pack

$14.00 /Pack

(Save 44%)


$13.02 /Pack

(Save 48%)

Tops Business Forms Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms
  • Product SKU: TOP50135RV
  • Includes 250 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. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.

Tops Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms

Product Specifications

  • Global Product Type: Forms-Insurance Claim
  • Form Size: 8 1/2 x 11
  • Forms Per Page: 1
  • Form Quantity: 250
  • Principal Heading(s): 1500 Health Insurance Claim Form
  • Layout: One Form per Sheet
  • Printer Compatibility: Laser
  • 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: For Laser Printers
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