TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$34.59
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Highlights
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- 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
MADE IN AMERICA
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 2408453Model #: 50135RV
$34.59
250/pack
Free Returns
Online. In store. Always free.
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About this product
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 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.
- 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
- Made in the USA
- 250 forms per pack
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Your product TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) Price is $34.59 |  Price is $24.79 |  Price is $51.89 |  Price is $43.59 |  Price is $16.79 | |
| Reviews | |||||
| Delivery Information | Delivery by Tue, Dec 09 | Delivery by Tue, Dec 09 | Free delivery by Tue, Dec 09 | Free delivery by Mon, Dec 15 | Delivery by Mon, Dec 15 |
| Available in my store | No | Yes | No | No | No |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Medical Form Pack Size | 250 | 100 | 500 | 500 | 100 |
| Medical Form Type | Consent | Health Insurance Claims | Health Insurance Claims | Dental Claims | Dental Claims |
| True Color | Red and White | White / Red | White / Red | White | White |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Print Type | Continuous | Data not available | Laser | Laser | Laser |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8-1 / 2" x 11" | 8-1 / 2" X 11" |
| Pack Qty | 1 | 100 | 1 | Data not available | Data not available |
| Series or Collection | Centers for Medicare and Medicaid Services | CMS-1500 | CMS-1500 | Data not available | Data not available |
| Next Day Delivery | Yes | Yes | Yes | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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