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Your cart is empty.The TOPS CMS-1500 Health Insurance Claim Form is the standard paper claim form used to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed. It is approved by the National Uniform Claim Committee (NUCC) and the Office of Management and Budget (OMB). Designed for use with a laser printer, the form is printed in red optical character recognition (OCR) ink on 20-lb., white bond paper. It is 8-1/2" x 11" and comes 250 forms per pack. This version (02/12) went into use January 6, 2014.
Teresa
2025-09-05 18:22:18
Best price that I've seen!
Adi
2025-03-09 17:25:08
Good one
chander
2025-02-01 17:43:02
Need invoice in email
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