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Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 1/Page, 3,000 Forms/Carton

Home Office & School Supplies Office Supplies Paper & Stationery Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 1/Page, 3,000 Forms/Carton
Centers for Medicare and Medicaid Services  Claim Forms, CMS1500/HCFA1500, 1/Page, 3,000 Forms/Carton
Centers for Medicare and Medicaid Services  Claim Forms, CMS1500/HCFA1500, 1/Page, 3,000 Forms/Carton

Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 1/Page, 3,000 Forms/Carton

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  • Product description:Expedite medicare, medicaid or private insurance benefits
  • Nucc, cms and ama approved format
  • (02/12) version
SKU#:
BUSTOP50122RVUSS
MFR Part#:
50122RV
Weight#:
34.40
UPC Barcode#:
25932512209
Availability
Backorder: No ETA

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$145.04

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Description

Product description:
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
  • Continuous form
  • Form size: 8.5 x 11; forms per page: 1; form quantity: 3,000; principal heading(s): 1500 health insurance claim form.

    • 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.

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