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TOP50122Rby TOPS Forms
Centers for Medicare & Medicaid Services Forms, 3000 Forms
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Centers for Medicare & Medicaid Services Forms, 3000 Forms
TOPS Forms 50122R: Centers for Medicare Medicaid Services Forms, 3000 Forms
TOPS Forms 50122R
TOP50122R[ companion items ]
List Price: $173.75
Your price$123.49/ CT
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Short Description
Centers for Medicare & Medicaid Services Forms, 3000 Forms
This item will ship FREE and likely arrive next-day!   [ details ]
Description
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; Number of Columns: n/a; Forms Per Page: 1; Number of Entry Lines: n/a.
Product Details
ManufacturerTOPS Forms  [ view manufacturer ]
Item NumberTOP50122R
Mfg Part Number50122R
List Price$173.75
UnitCT
UPS Shippable Yes
Recyclable No
UPC025932501227
UNSPSC0014111806
Country of OriginUS
Shipping Weight32.0 lbs
Catalog Page952  [ all products on page 952 ]  [ view PDF page ]

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