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Category: Office Products

TOP50135R - CMS-1500 Claim Forms, 250 Pack

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Original price was: $33.78.Current price is: $10.13.70% OFF

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Description

  • Form Size – 8 1/2 x 11
  • Form Type – Insurance Claim
  • Format – Loose Form
  • Layout – One Form per Sheet
  • Paper Stock – 20-Lb. 250 Sheets to a pack
  • Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.
    Brand: Tops, Model: TOP50135RV, Color: White, Size: 8 1/2 x 11

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    Address: 1234 Fashion Street, Suite 567,
    New York, NY 10001
    Email: [email protected]
    Phone: (212) 555-1234

    TOP50135R – CMS-1500 Claim Forms, 250 Pack
    Original price was: $33.78.Current price is: $10.13.