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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.
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 |