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CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 500/Pack, Loose Forms
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Type: Insurance Claim; Format: Loose Form; Form Size (W x H): 8 1/2 in x 11 in; Sheet Size (W x H): N\A.
- Usually arrives in 1-2 business days
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- Brand: TOPS®
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| Item# | Description | Price | Unit | Stock | Ship | Order | ||||||||||||||||||||||||||
| TOP50126R | (5.6 lbs) | $33.38 $25.87 (save 22%) | Pack | 1767 |  | |||||||||||||||||||||||||||
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| TOP50122R | (32.0 lbs) | $149.08 $111.76 (save 25%) | Carton | 205 | | |||||||||||||||||||||||||||
| TOP50124R | (31.0 lbs) | $155.97 $141.69 (save 9%) | Carton | 101 | | |||||||||||||||||||||||||||
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