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Tops Medicare/Medicaid Services Claim Forms CMS1500/HCFA1500 500 Forms 50126RV
- Item #:
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- SBS-615453
- Medical Forms
- Item is in stock
- Retail Packaging
- N/A
- New
- Tops Business Forms
For Government/Education/Business pricing, please call 440.355.8008
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TOPS™ Centers for Medicare and Medicaid Services (CMS) 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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
- Global Product Type: Insurance Forms
- Form Type Details: CMS-1500
- Dated/Undated: Undated
- Forms Per Page: 1
- Form Size: 8.5 x 11
- Format Indicator: Unbound
- Form Quantity (Total): 500
- Copy Types: One-Part (No Copies)
- Principal Heading(s): 1500 Health Insurance Claim Form
- Paper Color(s): White
- Color Family: White
- Printer Compatibility: Laser
- Paper Stock: 20 lb Bond
- Print and Ruling Color(s): OCR Red
- Product Biodegradability in Days: 0
- Pre-Consumer Recycled Content Percent: 0%
- Post-Consumer Recycled Content Percent: 0%
- Total Recycled Content Percent: 0%
- Special Features: Laser Printer Compatible
 | WARNING: This product can expose you to chemicals including Di(2-ethylhexyl)phthalate (DEHP), which is known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.P65Warnings.ca.gov. |
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Shipping Restrictions
- This item cannot be shipped to PO Boxes.
- This item can be shipped only within the U.S.
- UPC: 025932512605
- Mfr's Part #: 50126RV
