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Tops Centers for Medicare and Medicaid Services Claim Forms, 8-1/2 in. x 11 in., 500-Pack

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Tops Centers for Medicare and Medicaid Services Claim Forms, 8-1/2 in. x 11 in., 500-Pack

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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

Specification Description
Brand Tops
Country of Origin Made in USA
Office Supply Type Paper
Package Quantity 500
Primary Material Paper
Warranty No Warranty
Manufacturer Part Number TOP50126RV
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