TOPS - HCFA Continuous Claim Forms 

by TOPS | Item  #: 954544 | Model #:  TOP50124RV |

 

TOPS - HCFA Continuous Claim Forms
Price includes shipping
  • $ 167 38
Non-members pay 10% surchargeJoin now!
  • Shipping
  • Price includes shipping
  • Enter ZIP Code for shipping options
  • Estimated arrival 
Delivery estimates, taxes, and fees are based on ZIP Code. Club Pickup orders are based on your club’s current price and item availability on the day of payment.
CMS Claim Form,2 Part Continuous,9-1/2" x 11",1500Sht/CT,WE

Description

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

Specifications

  • 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

  • Details

    Assembled Country

    USA

    Component Country

    USA

                                 

    Ask & Answer

    Shipping Information

    Shipping Included

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

    Warranty Information

    This product is covered by the Sam's Club Member Satisfaction Guarantee.
  • There is no additional information available for this item.