Tops Business Forms CMS-1500 Health Insurance Claim Forms - CMS-1500 Benefits Claim Forms - 50135R
In Stock
$53.99
SKU 50135R
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Product Information: CMS-1500 Benefits Claim Forms
Manufacturer Part # 50135R
Description
- The right form to submit to Medicare, Medicaid or private insurance
- Format (02/12 version) approved by CMS, AMA and NUCC
- Printed front and back in red OCR ink for scanning
| Color | White |
| HPIS Code | 999_140_20_0 |
| Latex Free | No |
| UNSPSC | 14111806 |
