Tops Business Forms CMS-1500 Claim Forms with o Sensor Bar, Continuous 2-Part, 1,500 Sets/Carton (TOP50124)
CMS-1500 Claim Forms with o Sensor Bar, Continuous 2-Part, 1,500 Sets/Carton (TOP50124)
Centers for Medicare and Medicaid Services (CMS) Forms without Sensor Bar CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. Top sensor bar for microfiche duplication is required in some states. 20-lb. white paper; OCR red ink for scanning. 8-1/2 x 11. Continuous Form Carbonless duplicate. 1,500 Sets per Carton Two-Part Form SOLD AS: Carton STOCK NUMBER: 50124 UPC: 50025932501246
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