Tops CMS Health Care Forms w/o Sensor Bar
Tops Claim Forms: Tops 50129R CMS-1500 Form, Bar, Continuous, 2-Part, 8-1/2'' x 11'', TOP50129R
Tops Claim Forms: Tops 50129R CMS-1500 Form, Bar, Continuous, 2-Part, 8-1/2'' x 11'', TOP50129R, CMS-1500 forms comply with current physicians? standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Comes in a continuous format. UPC 0
Manufacturer: Tops
Quantity: 100/PK
SKU: TOP50129R
LIST PRICE: $23.48
OUR PRICE: $15.28
Tops Claim Forms
| 3-9 | $14.82 (per item) | all customers |
| 10+ | $14.52 (per item) | all customers |
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