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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Name: CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Brand: TOPS
SKU: TOP50135RV
Price: 43.34 USD

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$43.34

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.

SKU

TOP50135RV

Standard Pack: 250 / PK

Availability: Standard 2-3 day lead time

Details

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.

Product Information

Standard Pack	250 / PK
manufacturer	TOPS
Country of manufacture	United States
UNSPSC	0014111806
UPC	025932513503

Specifications

Dimension

Item Weight (pounds)	2.660000
Item Length (inches)	11
Item Height (inches)	1.1
Item Width (inches)	2.66
Item Cubic (inches)	N/A
Item Depth (inches)	N/A
Item Diameter (inches)	N/A

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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

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Enzymes

Use for Drain line, Restrooms, Grease Traps and much more

Floor Care

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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Product Information

Dimension

There are currently no resources for this product.

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^{Use for Drain line, Restrooms, Grease Traps and much more}