TOPS Forms 50126R: 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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TOP50126R

by TOPS Forms

CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 500 / Pack, Loose Forms

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CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 500 / Pack, Loose Forms

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: Loose Form; Forms Per Page: n/a.

TOPS Forms 50126R

TOP50126R[ companion items ]

List Price: $37.05

Your price$28.83/ PK

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Manufacturer	TOPS Forms [ view manufacturer ]
Mfg Part Number	50126R
List Price	$37.05
Unit	PK
UPS Shippable	Yes
Recyclable	No
Shipping Weight	5.6 lbs
Catalog Page	904 [ all products on page 904 ]
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