TOPS CMS-1500 Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV)
Blowout Sale! Save 59% on the TOPS CMS-1500 Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV) by Tops at Medical Service. MPN: 50135RV. Hurry! Limited time offer. Offer valid only while supplies last. The TOPS CMS-1500 Health Insurance Claim Form is the standard paper claim form used to bill Medicare Fee-For-Service (FFS) Contractors when a paper
The TOPS CMS-1500 Health Insurance Claim Form is the standard paper claim form used to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed. It is approved by the National Uniform Claim Committee (NUCC) and the Office of Management and Budget (OMB). Designed for use with a laser printer, the form is printed in red optical character recognition (OCR) ink on 20-lb., white bond paper. It is 8-1/2" x 11" and comes 250 forms per pack. This version (02/12) went into use January 6, 2014.
|Item Weight:||2.59 pounds|
|Item Size:||8.5 x 1.1 x 1.1 inches|
|Package Weight:||2.65 pounds|
|Package Size:||8.5 x 1 x 1 inches|
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