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TOP50135R - CMS-1500 Claim Forms, 250 Pack

TOP50135R - CMS-1500 Claim Forms, 250 Pack

Product ID: 113911719 Condition: New

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R 1,500
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Delivery: 10-20 working days
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Product Description

TOP50135R - CMS-1500 Claim Forms, 250 Pack

  • Form Size - 8 1/2 x 11
  • Form Type - Insurance Claim
  • Format - Loose Form
  • Layout - One Form per Sheet
  • Paper Stock - 20-Lb. 250 Sheets to a pack

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. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.

Technical Specifications

Country
USA
Brand
Tops
Manufacturer
TOPS Business Forms, Inc.
Binding
Office Product
ItemPartNumber
TOP50135RV
Model
TOP50135RV
Color
White
Size
8 1/2 x 11
UnitCount
1
UPCs
025932501357
EANs
0025932501357

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