Tops Business Forms TOPS® Centers for Medicare and Medicaid Services (CMS) forms (TOP50122R)
TOPS® Centers for Medicare and Medicaid Services (CMS) forms (TOP50122R)
#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 . STOCK NUMBER: 50122R UPC: 025932501227
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