TOPS CMS-1500 Health Insurance Claim Forms, 1-Part, Continuous, 9.5 x 11 Inches, 3000 Sheets per Carton (50122RV)
$69.99
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Description
CMS-1500 health insurance claim form.Printed in OCR red ink for scanning.Approved by CMS, NUCC and OMB.1-part continuous.SFI Certified Sourcing