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TOPS(TM) Centers for Medicare and Medicaid Services (CMS) Forms TOP50122RV TOP 50122RV Sold As CT TOP 50122RV
  
Supplies TOP50122RV
Price: $123.15
TOPS(TM) Centers for Medicare and Medicaid Services (CMS) Forms
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TOPS(TM) Centers for Medicare and Medicaid Services (CMS) Forms

Supplies TOP50122RV
Office Supplies > Forms, Recordkeeping & Reference Materials > Forms
Manufacturer: TOPS BUSINESS FORMS
Product Name: TOPS(TM) Centers for Medicare and Medicaid Services (CMS) Forms
Product ID: TOP50122RV
Country of Origin: US
Product Overview: Centers for Medicare and Medicaid Services Forms, 3000 Forms/Carton
TOPS(TM) Centers for Medicare and Medicaid Services (CMS) Forms TOP50122RV Sold As CT
  • 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.
  • 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.

    • Search Words: Claim Form; Claim Forms; CMS; CMS-1500; Continuous Form; HCFA Claim Form; Health Care Claim Forms; Human Resources; Insurance Forms; Personnel; Personnel Forms; TOPS; Paperwork; Records; Documents; Pre-Printed; Record-Keeping
    Alternate Product ID: TOP 50122RV
    Supplies TOP50122RV
    List Price: $189.86
    Price: $123.15
    Quantity:

    TOPS(TM) Centers for Medicare and Medicaid Services (CMS) Forms

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    TOPS(TM) Centers for Medicare and Medicaid Services (CMS) Forms

    TOP50122RV | TOPS(TM) Centers for Medicare and Medicaid Services (CMS) Forms
    Global Product Type: Forms-Insurance
    Form Size: 8 1/2 x 11
    Forms Per Page: 1
    Form Quantity: 3000
    Principal Heading(s): 1500 Health Insurance Claim Form
    Layout: One Form per Sheet
    Punching: Dot Matrix Pin Feed Holes
    Printer Compatibility: Dot Matrix
    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: Continuous Form
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