Tops HCFA Continuous Claim Forms
Tops Claim Forms: Tops 50124R CMS Claim Form, 2 Part Continuous, 9-1/2'' x 11'', 1500Sht/CT, WE, TOP50124R
Tops Claim Forms: Tops 50124R CMS Claim Form, 2 Part Continuous, 9-1/2'' x 11'', 1500Sht/CT, WE, TOP50124R, 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 25932501241
Manufacturer: Tops
Quantity: 1500/CT
SKU: TOP50124R
LIST PRICE: $155.96
OUR PRICE: $98.48
Tops Claim Forms
| 3-9 | $95.53 (per item) | all customers |
| 10+ | $93.56 (per item) | all customers |
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