TOPS 50122R – Centers for Medicare and Medicaid Services Forms, 3000 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 Size (W x H): 8 1/2 in x 11 in; Number of Columns: N/A; Forms Per Page: 1; Number of Entry Lines: N/A.

List Price:
Price: $ 178.96