1 x $142.95
1 x $142.95
Subtotal: $142.95
$46.34
CENTERS FOR MEDICARE AND MEDICAID SERVICES CLAIM FORMS, CMS1500/HCFA1500, 8 1/2 X 11, 250 FORMS/PACK
Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.
TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11 x 8.50 Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack