Tops CMS Health Insurance Claim 1500 - TOP50124R
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CMS Health Insurance Claim 1500 by Tops®
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Tops CMS Health Insurance Claim 1500
[ Lttr, 2-Part, 1500 Continuous Form Sts/Ctn ; 31 LBS]
Free Shipping List Price: $155.97
 Our Price: 150.37 Qty:
In Stock
Item # TOP50124R
Unit:Carton
Usually Ships:24 Hours

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Tops CMS Health Insurance Claim 1500 CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Type: Insurance Claim; Format: Continuous Form Set; Form Size (W x H): 8 1/2 in x 11 in; Sheet Size (W x H): NA.


Product Specifications 
Manufacturer #: TOP-50124R
Product Details CMS Health Insurance Claim 1500, Lttr, 2-Part, 1500 Continuous Form Sts/Ctn
Copy Type: Black Print Carbonless Duplicate
Form Size: 8 1/2 x 11
Form Type: Insurance Claim
Format: Continuous Form Set
Layout: One Form per Sheet
Paper Stock: 20-Lb.
Paper/Shading Color(s): White
Principal Heading(s): 1500 Health Insurance Claim Form
Print and Ruling Color(s): OCR Red
Printer Compatibility: Dot Matrix
Punching: Dot Matrix Holes
UPC: 00025932501241
Keywords: Claim Form, Claim Forms, CMS, CMS-1500, Continuous Form, HCFA Claim Form, Health Care Claim Forms, Human Resources, Insurance Forms, Personnel, Personnel Forms, TOPS
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