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TOPS 50135R HEALTH INSURANCE FORM 1500 CLAIM. LOOSE FORMS, 250 PACK 8-1/2" X11", US $9.99 – Picture 0
TOPS 50135R HEALTH INSURANCE FORM 1500 CLAIM. LOOSE FORMS, 250 PACK 8-1/2" X11", US $9.99 – Picture 1
TOPS 50135R HEALTH INSURANCE FORM 1500 CLAIM. LOOSE FORMS, 250 PACK 8-1/2" X11", US $9.99 – Picture 2
TOPS 50135R HEALTH INSURANCE FORM 1500 CLAIM. LOOSE FORMS, 250 PACK 8-1/2" X11", US $9.99 – Picture 0
TOPS 50135R HEALTH INSURANCE FORM 1500 CLAIM. LOOSE FORMS, 250 PACK 8-1/2" X11", US $9.99 – Picture 1
TOPS 50135R HEALTH INSURANCE FORM 1500 CLAIM. LOOSE FORMS, 250 PACK 8-1/2" X11", US $9.99 – Picture 2

Tops 50135r Health Insurance Form 1500 Claim. Loose Forms, 250 Pack 8-1/2" X11"

US $9.99

  • Mountain View, Missouri, United States
  • Jan 30th
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TOPS 50135R HEALTH INSURANCE FORM 1500 CLAIM. LOOSE FORMS, 250 PACK 8-1/2" X11" TOPS 50135R  HEALTH INSURANCE FORM 1500 CLAIM LOOSE FORMS  250 PACK 8-1/2" X11"  MODEL: CMS 1500 ( Item # 0-497 )  THIS ITEM IS NEW IN OPEN PACKAGE Technical Details: CMS 1500 Claim Form is in the AMA approved format. Printed front and back in red OCR ink on white, letter-size 20 lb. bond. Compatible with laser printers.   Product Description: This form accommodates the reporting of the National Provider Identifier (NPI). Printed in red ink on special bond paper in strict compliance with NUCC and CMS regulations and specifications. 8 1/2 x 11 These claim forms (formerly HCFA-1500) are used to submit health insurance claims for services provided by health care professionals to Medicare and Medicaid, insurance companies or clearinghouses for processing. Printed in red ink on special bond paper in strict compliance with government regulations and specifications.      Additional shipping charges apply to AK, HI, and PR.  We reserve the right to choose carriers which will provide the best option for shipping  your merchandise.    RETURN POLICY: Bid with confidence.  We offer a money back guarantee.  If you're not satisfied with an item for any reason, simply return it in the same condition in which it as shipped within fourteen (14)  business days and we'll gladly refund the cost of the item excluding shipping and handling charges.  Refunds will be processed within three (3) days upon receipt of the undamaged merchandise.   We strive to deliver exceptional customer service and want to ensure every customer is satisfied with their purchase from Graff Bros Enterprises.    THANKS FOR SHOPPING WITH US AND HAVE A GREAT DAY!     
Condition New other (see details) :
A new, unused item with absolutely no signs of wear. The item may be missing the original packaging, or in the original packaging but not sealed. The item may be a factory second or a new, unused item with defects. See the seller’s listing for full details and description of any imperfections.
Seller Notes “Item is new in open package. Tops CMS 1500 format health insurance claim forms.”

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