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Tops Centers for Medicare and Medicaid Services Forms

Tops Centers for Medicare and Medicaid Services Forms

Item # - TOP50126R - 8-1/2 x 11, 500 Forms


Reviews ( 1 ) | Write your own
  • $$ 24.59/per Pack
    $$ 24.37/per Pack
  • $$ 21.53/per Pack
    when buying in bulk
    $$ 20.59/per Pack
    when buying in bulk
Qty: $$ 22.17 if you buy 4+
In Stock
  • Sold in Packs of 500
  • CMS-1500 claim forms formerly known as HCFA-1500 claim forms expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.
  • Form Size W x H: 8 1/2 in x 11 in Number of Columns: N/A Forms Per Page: 1 Number of Entry Lines: N/A.
  • Product Details
  • Reviews

CMS-1500 claim forms formerly known as HCFA-1500 claim forms expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Size W x H: 8 1/2 in x 11 in Number of Columns: N/A Forms Per Page: 1 Number of Entry Lines: N/A.

See more Centers for Medicare and Medicaid Services (CMS) Forms

Additional Information:
Form Quantity 500
Form Size W X H 8 1/2 in x 11 in
Form Special Features For Laser Printers
Forms Per Page 1
Layout One Form per Sheet
Paper Colors White
Paper Stock 20-lb.
Post-consumer Recycled Content Percent 0 %
Pre-consumer Recycled Content Percent 0 %
Principal Headings 1500 Health Insurance Claim Form
Print And Ruling Colors OCR Red
Printer Compatibility Laser
Total Recycled Content Percent 0 %
Overall Customer Ratings: (based on 1 reviews)
Rating Only Review

(Based on 1 ratings-only review)

1 out of 1 recommends this product

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