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TOP 50124 | Centers for Medicare and Medicaid Services (CMS) Forms without Sensor Bar Centers for Medicare and Medicaid Services (CMS) Forms without Sensor Bar CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or any private insurance benefits. Top sensor bar for microfiche duplication is required in some states. 20-lb. white paper; OCR red ink for scanning. Self-Sealing Window Envelopes (TOP50941/50992), sold separately. 8-1/2 x 11. Continuous Form Carbonless duplicate. 1,500 Sets per Carton Two-Part Form
$136.05 retail $90.70per carton -- you save$45.35 (33%) |
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Page revised: Friday, January 14, 2005