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Forms, Record Keeping & Reference  > Human Resources  > Personnel Forms
 Product Group:  Centers for Medicare & Medicaid Services (CMS) Forms without Sensor Bar  [ view group ]
TOP50122R
by TOPS Forms
CMS Health Insurance Claim 1500, Lttr, 3000 Continuous Forms per Carton
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TOPS Forms 50122R: CMS Health Insurance Claim 1500, Lttr, 3000 Continuous Forms per Carton
  
CMS Health Insurance Claim 1500, Lttr, 3000 Continuous Forms per Carton
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Size (W x H): 8 1/2 in x 11 in; Format: Continuous Form; Forms Per Page: n/a.
TOPS Forms 50122R
TOP50122R[ companion items ]
List Price: $165.48
Your price$118.98/ CT
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ManufacturerTOPS Forms  [ view manufacturer ]
Mfg Part Number50122R
List Price$165.48
UnitCT
UPS Shippable Yes
Recyclable No
Shipping Weight32 lbs
Catalog Page904  [ all products on page 904 ]

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GPP002
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Exam Table Paper Rolls, Crepe Texture, 18" x 125', White, 12 per Carton 
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