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.
TOPS CMS-1500 Medicare/Medicaid Forms for Laser Printers, 8.5" x 11", 500 Forms
Write a Review
|
Questions & Answers (0)
Product Description
PRICE
$64.95
1
1
Save 15% on Auto-Reorders
AUTO-REORDER from GlobalIndustrial.com ensures you don't run out of essentials to make your life easier.
- Eliminate the need for reminders and repetitive orders.
- Customize your order frequency, delivery schedule, and quantity with just a few clicks.
- Automatic email notifications keep you in the loop before every order.
- It's completely FREE and you can cancel anytime from your profile.
Ships within 1 Business Day
Add or Change Zip Code(s)
Easy online or call-in returns. Read return policy
Weights & Dimensions
| Width | 8-1/2 in |
| Height | 11 in |
Product Details
| Style | Medical Form |
| Material | Paper |
| Package Quantity | 500 Forms/Pack |
| Description | Laser CMS-1500 Claim Form |
| Color | White |
| Manufacturers Part Number | 50126R |
| Paper Type | Forms |
| Brand | Tops |