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TOPS™

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

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SKU:
TOP50126RV
UPC:
025932512605
MPN:
50126RV
Weight:
5.19 LBS
$101.47
$92.33
— You save $9.14
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Description

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.
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Additional Information

Product Biodegradability in Days:
0
Pre-Consumer Recycled Content Percent:
0%
Total Recycled Content Percent:
0%
Post-Consumer Recycled Content Percent:
0%
Ship Class Code:
M
Forms Per Page:
1
Dated/Undated:
Undated
Paper Color(s):
White
Color Family:
White
Form Size:
8.5 x 11
Printer Compatibility:
Laser
Format Indicator:
Unbound
Copy Types:
One-Part (No Copies)
Form Quantity (Total):
500
Principal Heading(s):
1500 Health Insurance Claim Form
Paper Stock:
20 lb Bond
Print and Ruling Color(s):
OCR Red
Special Features:
Laser Printer Compatible
Form Type Details:
CMS-1500
Global Product Type:
Insurance Forms
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