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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&#153; CMS-1500 Medicare/Medicaid Forms for Laser Printers, 8.5&quot; x 11&quot;, 500 Forms

laser-cms-1500-claim-forms-1-part-carbonless-8-1-2-x-11-white-500-forms-pack

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