TOPS Medical Forms

TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11" (50135RV)~#|#~s1053550_sc7
Item # : 2408453
Model # : 50135RV
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.
  • 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
Price is $32.49
Unit of measure 250/Pack
Delivery by Wed, May 07
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TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)~#|#~83BCF13D-770A-4A37-B6B9112AECC1A581_sc7
TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)~#|#~43D41C18-579A-4B95-856C2FF6A9BDA1E7_sc7
Item # : 309934
Model # : 50126RV
Process claims easily with these TOPS CMS-1500 red OCR ink 20-pound stock health insurance claim forms.
  • Satisfy record keeping requirements with these health insurance claim forms
  • Number of parts: 1
Price is $48.89
Unit of measure 500/Pack
Free delivery by Wed, May 07
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TOPS UB04 Health Care Form, Revised, HCFA Compliant, 8 1/2" X 11", 2500/Carton (59770R~#|#~s0320918_sc7
TOPS UB04 Health Care Form, Revised, HCFA Compliant, 8 1/2" X 11", 2500/Carton (59770R is Out of stock
Item # : 890389
Model # : 59770R
No reviews yet
  • Revised Format
  • AMA approved format
Price is $195.39
Unit of measure 2500/Carton

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