TOP 50126 |
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. For Laser Printers 500 Forms per Pack One-Part Form
$24.23 retail $22.81per pack -- you save$1.42 (5%) |
