NC Doctors Day

TOP50135R - CMS-1500 Claim Forms, 250 Pack


On Sale Now! Save 5% on the TOP50135R - CMS-1500 Claim Forms, 250 Pack by Tops at NC Doctors Day. MPN: TOP50135RV. Hurry! Limited time offer. Offer valid only while supplies last. Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink


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TOP50135R - CMS-1500 Claim Forms, 250 Pack by Tops (Image #1)
Brand: Tops
4.0 out of 5 stars with 27 reviews
Condition: New
Availability: In Stock
$17.13
$16.38
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Product Description & Reviews

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.

Features & Highlights

  • 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

Additional Information

Brand:
Tops
Manufacturer:
TOPS Business Forms, Inc.
Category:
Medical & Insurance Forms
Color:
White
Model:
TOP50135RV
MPN:
TOP50135RV
UPC:
025932501357
Part Number:
TOP50135RV
Size:
8 1/2 x 11
Publisher:
TOPS Business Forms, Inc.
Publication Date:
2008-04-23
Binding:
Office Product
Item Weight:
2.2 pounds
Item Size:
8.5 x 1.1 x 11 inches
Package Weight:
2.6 pounds
Package Size:
8.4 x 0.8 x 10.8 inches

 


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