Online Only
Tops Centers for Medicare and Medicaid Services Claim Forms, 8-1/2 in. x 11 in., 500-Pack
Item # 1652005
$44.99
Size: 8.5 x 11in.
Color:
Neighbor’s Club Members earn points with purchases.
Online Only
Tops Centers for Medicare and Medicaid Services Claim Forms, 8-1/2 in. x 11 in., 500-Pack
Item # 1652005
$44.99
Size: 8.5 x 11in.
Color:
Neighbor’s Club Members earn points with purchases.
These Tops Centers for Medicare and Medicaid Services Claim Forms are CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) and expedite Medicare, Medicaid or private insurance benefits. The forms feature a top sensor bar for microfiche duplication, as required in some states and have OCR red ink for scanning. 500 per package.
- 1 part form designed for use with a laser printer
- Printed in red optical character recognition (OCR) ink
- These Medicare/Medicaid forms are printed on 20 lb., white bond paper
- Health forms measure 8.5 in. x 11 in.
- Medical forms are CMS, NUCC and OMB approved format
- 500 Medicare/Medicaid forms per pack
- Made in the USA
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