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Buy tops cms1500 health insurance claim forms for laser printer, 8.5 x 11 inches, 250 sheets per pack 50135rv in United States - Cartnear.com

tops cms1500 health insurance claim forms for laser printer, 8.5 x 11 inches, 250 sheets per pack 50135rv

CTNR1116467 0739197479909 CTNR1116467

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2025-12-21 USD 21.55

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tops cms1500 health insurance claim forms for laser printer, 8.5 x 11 inches, 250 sheets per pack 50135rv
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tops cms1500 health insurance claim forms for laser printer, 8.5 x 11 inches, 250 sheets per pack 50135rv
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tops cms1500 health insurance claim forms for laser printer, 8.5 x 11 inches, 250 sheets per pack 50135rv
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tops cms1500 health insurance claim forms for laser printer, 8.5 x 11 inches, 250 sheets per pack 50135rv
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tops cms1500 health insurance claim forms for laser printer, 8.5 x 11 inches, 250 sheets per pack 50135rv
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The TOPS CMS-1500 Health Insurance Claim Form is the standard paper claim form used to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed. It is approved by the National Uniform Claim Committee (NUCC) and the Office of Management and Budget (OMB). Designed for use with a laser printer, the form is printed in red optical character recognition (OCR) ink on 20-lb., white bond paper. It is 8-1/2" x 11" and comes 250 forms per pack. This version (02/12) went into use January 6, 2014.
UPC NO:739197479909
SKU:ADIB00IGJ891Y

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