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Office Forms, Recordkeeping & Reference Materials Forms & Recordkeeping Systems Medical & Insurance Forms TOPS TOP50124RV

TOPS Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

Item # TOP 50124RV by TOPS (Mfg. Part # TOP50124RV, UPC # 25932501241)


CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.


  • Quantity : 1500 per Carton

  • Form Size : 8 1/2 x 11

  • Forms Per Page : 1

  • Principal Heading : 1500 Health Insurance Claim Form

  • Layout : One Form per Sheet

  • Copy Types : Carbonless Duplicate

  • Punching : Dot Matrix Holes

  • Printer Compatibility : Dot Matrix

  • Paper Stock : 20-lb.

  • Paper Color : White

  • Print and Ruling Color : OCR Red

  • Footnote 1 : Carbonless Duplicate

  • Special Features : Carbonless Duplicate

TOP50124RV - TOPS® Centers for Medicare and Medicaid Services (CMS) Forms
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Retail Price: $176.62
BettyMills Discount Price: $130.83 Per Carton
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