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TOP50135R - CMS-1500 Claim Forms, 250 Pack

Product ID: B0013CNXDK Condition: New

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Product Description

TOP50135R - CMS-1500 Claim Forms, 250 Pack

Form Size - 8 1/2 x 11
Form Type - Insurance Claim
Format - Loose Form
Layout - One Form per Sheet
Paper Stock - 20-Lb. 250 Sheets to a pack

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. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.