Uniquely situated in Orange County, NY, Montgomery, NY offers the best of Shopping,
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Centers for Medicare and Medicaid Services (CMS) Forms without Sensor Bar Product code: TOP 50122 Manufacturer: Tops
Price:
$90.75
per carton
3,000 Forms per Carton
One-Part Form
Continuous Form
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 private insurance benefits. Top sensor bar for microfiche duplication is required in some states. 20-lb. white paper; OCR red ink for scanning. 8-1/2 x 11. Continuous Form 3,000 Forms per Carton One-Part Form
All brands and product names are trademarked or registered trademarks of their
respective companies. Prices, specifications, and availability are subject to change without notification.
E.&O.E. Image & Description provided by and used with permission from The Betty Mills Company. Page revised: Thursday, August 17, 2006.
This page is at http://www.shopmontgomerystore.com/bettymills/go/top-50122
