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Tops CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

$29.48 / Pack
In Stock

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Expedite Medicare, Medicaid, or private insurance benefits with our CMS-1500 claim forms. These forms adhere to the NUCC, CMS, and AMA approved format (02/12 version) and are printed front and back in red OCR ink, ensuring seamless scanning and processing.

Key Features

  • CMS-1500 claim forms expedite Medicare, Medicaid, or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • Printed in OCR red ink for efficient and accurate scanning.

These 8.5 x 11-inch forms are designed for laser printers and come in a pack of 250, making them ideal for large-scale use. The forms are printed on 20-lb. white paper with OCR red print and ruling color, ensuring clarity and legibility.

Tops is a trusted name in document management solutions, known for providing high-quality products that meet industry standards.

  • Quantity : 250 Forms
  • Form Size : 8 1/2 x 11
  • Forms Per Page : 1
  • Form Quantity : 250
  • Principal Heading : 1500 Health Insurance Claim Form
  • Layout : One Form per Sheet
  • Printer Compatibility : Laser
  • Paper Stock : 20-lb.
  • Paper Color : White
  • Print and Ruling Color : OCR Red
  • Special Features : For Laser Printers

Prescription Information

A valid medical prescription must be submitted to Betty Mills within seven (7) days for the ordered item(s), and shipping will be on hold until the prescription is received. If the prescription is not provided within this timeframe, the order may be canceled. This requirement does not apply to licensed care providers, training facilities, equivalent qualified professionals, or licensed wholesalers, who are exempt from this policy.

Prescriptions may be sent via:

(650) 443-5201
The Betty Mills Company, Inc.
19 South B Street Suite 8
San Mateo, CA 94401

You are entitled to a free consultation following the purchase of this item.

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