TOPS Two-part CMS-1500 Forms

2 Part - Carbonless - 11" x 8.50" Sheet Size - White - View Complete Details

Product Number: TOP50124RV

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Made in
America
Made in America

This product was manufactured in the United States.

TOPS Two-part CMS-1500 Forms - CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Comes in a continuous format.

  • 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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