Office Products > Forms, Recordkeeping & Money Handling > Human Resources Forms > Insurance Claim Forms
TOPS CMS-1500 Claim Forms Without Sensor Bar, Continuous 1-Part, Red OCR Ink, 3,000 Sheets Per Carton (50122R)

TOPS CMS-1500 Claim Forms Without Sensor Bar, Continuous 1-Part, Red OCR Ink, 3,000 Sheets Per Carton (50122R)

Product ID: B00119YPZA Condition: New
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Product Description

TOPS CMS-1500 Claim Forms Without Sensor Bar, Continuous 1-Part, Red OCR Ink, 3,000 Sheets Per Carton (50122R)

  • Centers for Medicare and Medicaid Services (CMS) claim form without sensor bar.
  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.

Technical Specifications

Country
USA
Brand
Tops
Manufacturer
TOPS Business Forms, Inc.
Binding
Office Product
PartNumber
50122R
Model
50122R
Color
White
Height
11
Length
8.5
Weight
32
Width
14
Size
8 1/2 In X 11 In
NumberOfItems
1

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