*Product availability is subject to suppliers inventory
Type | Form Holders |
---|---|
Brand | Tops |
Features | Sold as 250/Pack. |
Color | Red |
TOPS™ Centers for Medicare and Medicaid Services (CMS) 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. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.