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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11" (50135RV)~#|#~s1053550_sc7
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  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
  • Top sensor bar for microfiche duplication, as required in some states
  • OCR red ink for scanning
MADE IN AMERICA

TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)

Item #: 2408453Model #: 50135RV
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    • About this product

    CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.

    CMS-1500 claim 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.

    • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
    • Top sensor bar for microfiche duplication, as required in some states
    • OCR red ink for scanning
    • Made in the USA
    • 250 forms per pack
    Specifications table
    Attribute nameAttribute value
    Brand Name TOPS
    Form Size
    		8 1/2" x 11"
    Length in Inches 11
    Medical Form Pack Size 250
    Medical Form Type Consent
    Next Day Delivery Yes
    Number of Parts 1
    Pack Qty 1
    Print Type Continuous
    Series or Collection
    		Centers for Medicare and Medicaid Services
    True Color
    		Red and White
    Width in Inches
    		8.5