~:~ TOPS BUSINESS FORMS ~:~ CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms
$27.98
Description
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits..Top sensor bar for microfiche duplication, as required in some states..OCR red ink for scanning.
