Tops Centers for Medicare and Medicaid Services Claim Forms, 8-1/2 in. x 11 in., 500 pk.
$44.99
Shop on Tractor Supply

Price Comparison

Description

These Tops Centers for Medicare and Medicaid Services Claim Forms are CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) and expedite Medicare, Medicaid or private insurance benefits. The forms feature a top sensor bar for microfiche duplication, as required in some states and have OCR red ink for scanning. 1 part form designed for use with a laser printer Printed in red optical character recognition (OCR) ink These Medicare/Medicaid forms are printed on 20 lb., white bond paper Health forms measure 8.5 in. x 11 in. Medical forms are CMS, NUCC and OMB approved format 500 Medicare/Medicaid forms per pack Made in the USA

logo

Tractor Supply

Top in Tractor Supply

View all
View all