Expedite Medicare, Medicaid or any private insurance benefits. Top sensor bar for microfiche duplication is required in some states. 20-lb. white paper; OCR red ink for scanning. Self-Sealing Window Envelopes (TOP50941/50992), sold separately. 8-1/2 x 11.
Additional Information
Claim Forms,HCFA,Laser,No Sensor Bar, 500 Sheet/Pk
Category: HCFA~~ 1500~~ CLAIM~~ FORMS~~ SENSOR~~ BAR~~ 1~~ PART~~ 50~~ PACK Brand: Tops Business Forms Merchant SKU: TOP50126 LS ID: 23815
Shipping Information
Shipping Cost: $3.95
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