TOPS Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms
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- $ 104 98
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- Come back November 30 to get this price!
- Valid 11/30/15 only. While supplies last. No rain checks.
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About this item
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
- GLOBAL PRODUCT TYPE: Forms-Insurance Claim
- FORM SIZE: 11 x 8 1/2
- FORMS PER PAGE: 1
- FORM QUANTITY: 1500
- PRINCIPAL HEADING(S): 1500 Health Insurance Claim Form
- LAYOUT: One Form per Sheet
- COPY TYPES: Carbonless Duplicate
- PUNCHING: Dot Matrix Holes
- PRINTER COMPATIBILITY: Dot Matrix
- PAPER STOCK: 20-lb.
- PAPER COLOR(S): White
- PRINT AND RULING COLOR(S): OCR Red
- FOOTNOTE 1: Carbonless Duplicate
- SPECIAL FEATURES: Carbonless Duplicate
* Pricing valid online only, November 30, 2015, unless otherwise noted. No rain checks. While supplies last.
8.5"W x 11"H