TOP50135R - CMS-1500 Claim Forms, 250 Pack
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.
Technical Specifications
Customers who bought this also bought
You might also like
Fuutreo 6 Pcs Magnetic Wall File Organizer Magnetic Wall File Holder Refrigerator Magazine Holder for Mail Letters Paper(Light Vintage,Vertical-large)
Soccer Trainer, Soccer Exercises Training Set | Improve Agility First Touch Ball Control & Foot-Eye Coordination Hand-Eye
WEIXINHAI 2 Pack Black Spring Tension Curtain Rods 24-46 Inches, Spring Loaded Curtain Rods No Drilling, Adjustable Tension Rod for Windows Bedroom Bathroom Kitchen Doorway Closet
Toothbrush Holders for Bathrooms,Rotating 5-Slot with Cover and Draining Water,Kids Electric Toothbrush Holder and Toothpaste Stand Storage for Bathroom Accessories Counter Organizer Vanity
2pack Tea Ball, tea infuser for loose leaf tea, tea strainers for loose tea, stainless steel tea strainer, loose leaf tea steeper, easy clean, tea fine mesh strainer reusable
CHAMPLANT Washable Area Rug 4'x6' Floral Khaki Traditional Floor Cover Foldable Thin Rugs Retro Kitchen Indoor Distressed Non Slip Carpet Floral Print Mat Bedroom Living Room
CHAMPLANT Area Rug 5'x7' Washable Rug Floral Khaki Traditional Floor Cover Thin Retro Kitchen Indoor Distressed Non Slip Carpet for Living Room Bedroom Dining Room
Twister Arm Trainer, 30-120 lbs Adjustable Twister Arm Chest Exerciser with 4 Spring & Poster for Men & Women, Detachable Power Twister Home Fitness Equipment for Enhancing Upper Body Muscle -Grey