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Tops® CMS-1500 Claim Forms, 2-Part, Carbonless, 8-1/2" x 11", White, 1500 Forms/Carton
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Tops® CMS-1500 Claim Forms, 2-Part, Carbonless, 8-1/2" x 11", White, 1500 Forms/Carton

Item #: WBB859563

Sold By: globalindustrial.com

Ships same day. Estimated lead times do not include weekends or holidays. Transit time is determined by shipping method and destination. Orders requiring credit information might take additional time.

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List Price: $191.48 Save up to 27%
Price: $ 139.95

with FREE shipping today! (within the contiguous US)

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Tops® CMS-1500 Claim Forms, 2-Part, Carbonless, 8-1/2" x 11", White, 1500 Forms/Carton

Two-part CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Campus and the AMA Council of Medical Service. Forms come in a continuous format.


This product arrives to most customers in 2-3 business days.

Product Specifications

    • WIDTH INCHES8-1/2
    • HEIGHT INCHES11
    • COLOR FINISHWhite
    • CONSTRUCTIONPaper
    • BRANDTops®
    • DESCRIPTIONCMS-1500 Claim Form
    • MANUFACTURERS PART NUMBER50124R
    • PACKAGE QUANTITY1500 Forms/Carton
    • PAPER TYPEForms
    • STYLEMedical Form

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