TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack

TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack
TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack

About this product

TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/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. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Size: 11 x 8 1/2; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.
Product Specifications
  • Weight
    4.0000
  • Sold As
    Pack
  • Unit Quantity
    250
  • Unit Amount
    each
Properties
  • UPC
    025932513503
  • GTIN
    00025932513503
  • SKU
    21245905
  • Stock Reference #
    SSTOP50135RV

TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack

$16.95 /pack
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