CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms

Item #: TOP50135R

List Price $17.52
Your Price $10.78 PK
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CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Type: Insurance Claim; Format: Loose Form; Form Size: 8 1/2 x 11; Sheet Size: N/A.
TOP 50135R, TOP-50135R, TOP,50135R - 2.625 lbs

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