Cart
CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.
Unit of Measure: PK
Assembly Effort: None
Manufacturer Part Number: 50135RV
Related Products
Employment Applications, One-Part (No Copies), 11 x 8.38, 50 Forms/Pad, 2 Pads/Pack
$7.52 Item ID: ABF9661
Multi-Part Guest Check Pad, Two-Part Carbonless, 3.38 x 6.38, 50 Forms Total
$19.28 Item ID: ABF10450SW
Multi-Part Guest Check Unit Sets, Two-Part Carbonless, 4.25 x 6.75, 250 Forms Total
$33.07 Item ID: ABF947SWC
One-Part Guest Check Pad, One-Part (No Copies), 3.35 x 4.94, 100 Forms/Pad, 12 Pads/Pack
$13.03 Item ID: ABF210012
Petty Cash Receipts, One-Part (No Copies), 5 x 3.5, 50 Receipts/Pad, 12 Pads/Pack
$6.72 Item ID: ABF9672ABF
While You Were Out Memo Pad, One-Part (No Copies), 4.25 x 5.5, 50 Forms/Pad, 6 Pads/Pack
$10.12 Item ID: ABF9711NEON