~:~ 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.

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