TOPS Forms 50124R: Centers for Medicare and Medicaid Services (CMS) Forms without Sensor Bar

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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 ]

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TOP50124R

by TOPS Forms

CMS Health Insurance Claim 1500, Lttr, 2-Part, 1500 Continuous Form Sts / Ctn

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CMS Health Insurance Claim 1500, Lttr, 2-Part, 1500 Continuous Form Sts / Ctn

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 Set; Forms Per Page: n/a.

TOPS Forms 50124R

TOP50124R[ companion items ]

List Price: $166.89

Your price$124.98/ CT

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Manufacturer	TOPS Forms [ view manufacturer ]
Mfg Part Number	50124R
List Price	$166.89
Unit	CT
UPS Shippable	Yes
Recyclable	No
Shipping Weight	31 lbs
Catalog Page	904 [ all products on page 904 ]
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