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Tops

Model # :WBB859471

MPN #: 50126R

TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, 8.5" x 11", 500 Forms

Product Description

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.

PRICE
$64.95

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Weights & Dimensions

Width8-1/2 in
Height11 in

Product Details

StyleMedical Form
MaterialPaper
Package Quantity500 Forms/Pack
DescriptionLaser CMS-1500 Claim Form
ColorWhite
Manufacturers Part Number50126R
Paper TypeForms
BrandTops