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TOPS Centers for Medicare and Medicaid Services Forms 8 1/2 x 11 250 Forms/Pack 50135RV

  • Sold as 250/Pack.
  • 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.
  • Made in the USA.
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Overview
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CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.

CMS-1500 claim forms expedite Medicare, Medicaid, or private insurance benefits. NUCC, CMS, and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

- 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.
- Made in the USA.

- Sold as 250/Pack.

Warranty & Returns

Warranty, Returns, And Additional Information

Return Policies*

  • Return for refund within: 30 days
  • Returns are subject to restocking fees and return shipping fees. Please click here to learn more about restocking fees and return shipping fees.
  • This item is covered by Newegg.com's International Order Return Policy. Read full return policy for details.
  • *Subject to applicable law
  • Warranty Notice:

    This product does not include manufacturer warranty when purchased or used outside of its designated sales region. By purchasing internationally, you acknowledge that warranty support from the manufacturer will not be available.
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