TOPS - HCFA Continuous Claim Forms 

by TOPS | Item  #: 954544 | Model #:  TOP50124RV |
TOPS - HCFA Continuous Claim Forms


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  • $ 167 38
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About this item

CMS Claim Form,2 Part Continuous,9-1/2" x 11",1500Sht/CT,WE


CMS Claim Form,2 Part Continuous,9-1/2" x 11",1500Sht/CT,WE


  • Updated Health Insurance Claim (CMS) Forms with no sensor bar come in a format approved by the AMA Council of Medical Services
  • Printed front and back on 20 lb
  • paper using Optical Character Recognition red ink for scannability, fulfilling requirements of most insurance companies
  • The Health Care Finance Administration has changed its name to Centers for Medicare and Medicaid Services (CMS)
  • TOP50124R

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    Shipping Information

    Standard - 2 to 6 business days

  • Delivery is not available to AK, HI or Puerto Rico

    Warranty Information

    This product is covered by the Sam's Club Member Satisfaction Guarantee.