Tops TOP50126RV CMS-1500 Insurance Claim Forms, White
$50.82
Brand: Tops
Model: TOP50126RV
Color: White
Size: 8 1/2 x 11
Features
- 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.
Details
Tops CMS-1500 claim forms support submitting Medicare, Medicaid, and private insurance benefit claims. Each form includes a top sensor bar for microfiche duplication where required and OCR red ink to support scanning.
UPC: 025932501265