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TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 1 Pack
- 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 Details
General Information
| Sheet Color | White |
| Sheet Size | 11" Width x 8.50" Length |
| Packaged Quantity | 250 / Pack |
| Product Name | CMS-15000 Health Insurance Claim Forms |
| Manufacturer | TOPS Products |
| Manufacturer Website Address | http://www.tops-products.com |
| Country of Origin | United States |
Product Information
| Brand | TOPS |
| Type | Specialist Books |
Description
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.
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