- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- Top sensor bar for microfiche duplication, as required in some states.
- OCR red ink for scanning.
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.
- Item Number: TOP50135RV
- Manufacturer: TOPSBUSFMS
- Brand: TOPS™
- Part Number: 50135RV
- UPC: 025932513503
- Country Of Origin: UNITED STATES