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Made in the USA

TOPS Centers

for Medicare & Medicaid Services Forms, 8-1/2"W x 11"H, 500 Forms

Item #: TOP50126RV
$24.19/PK
Retail Price:
$42.52
You Save:
43%
Item Weight:
5.19 LBS / PK
In Stock!
Description: CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
Part Numbers: TOP50126R, 50126R
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Specifications
Form Size:
8 1/2 x 11
Forms Per Page:
1
Form Quantity:
500
Principal Heading(s):
1500 Health Insurance Claim Form
Layout:
One Form per Sheet
Printer Compatibility:
Laser
Paper Stock:
20-lb.
Paper Color(s):
White
Print and Ruling Color(s):
OCR Red
Pre-Consumer Recycled Content Percent:
0%
Post-Consumer Recycled Content Percent:
0%
Total Recycled Content Percent:
0%
Special Features:
For Laser Printers
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