Tops Medicare/Medicaid Services Claim Forms CMS1500/HCFA1500 250 Forms 50135RV
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- B-617285
- Medical Forms
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TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms
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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
- Global Product Type: Insurance Forms
- Form Type Details: CMS-1500
- Dated/Undated: Undated
- Forms Per Page: 1
- Form Size: 8.5 x 11
- Format Indicator: Unbound
- Form Quantity (Total): 250
- Copy Types: One-Part (No Copies)
- Principal Heading(s): 1500 Health Insurance Claim Form
- Paper Color(s): White
- Color Family: White
- Printer Compatibility: Laser
- Paper Stock: 20 lb Bond
- Print and Ruling Color(s): OCR Red
- Product Biodegradability in Days: 0
- Pre-Consumer Recycled Content Percent: 0%
- Post-Consumer Recycled Content Percent: 0%
- Total Recycled Content Percent: 0%
- Special Features: Laser Printer Compatible
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Shipping Restrictions
- This item cannot be shipped to PO Boxes.
- This item can be shipped only within the U.S.
- UPC: 025932513503
- Mfr's Part #: 50135RV
