quick order form
Add items one at a time by entering their sku.
Item
Description
Price
Quantity
Remove
submit purchase order via :
Mail : PO Box 801136, Miami, FL 33280-1136
Phone : 1-305-663-8300
Fax : 1-305-665-1800
Email Id :sales@afpschoolsupply.com
Questions? We can help! 800-962-4041
Use your own order form
OR
Tops Products 50122RV CMS-1500 Health Insurance Forms,1-Part, 9-1/2"x11",3000 Sets by TOPS
- Approved by the AMA and the National Uniform Claim Committee (NUCC)
- Printed in red OCR ink
- No bar ream margins
- Continuous format; detached size: 8-1/2" x 11"
Description
- Approved by the AMA and the National Uniform Claim Committee (NUCC)
- Printed in red OCR ink
- No bar ream margins
- Continuous format; detached size: 8-1/2" x 11"
- Product Description
- Product Reviews 1
- Product Q&A 1
- Large Order Quote
- Shipping / Return Policy
Product Description
Width
11"
Height
9.5"
- Approved by the AMA and the National Uniform Claim Committee (NUCC)
- Printed in red OCR ink
- No bar ream margins
- Continuous format; detached size: 8-1/2" x 11"
One-part CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. One-part forms come in a continuous format with no bar ream margins and are printed on the front and back with red OCR ink. Detached size of the 20 lb. paper is 8-1/2 x 11".
"Product Reviews 1
Product Q&A 1
Large Order Quote
Shipping / Return Policy
Suggested Products
Why Buy From AFP School Supply?
submit purchase order via :
Mail : PO Box 801136
Phone : 1-305-663-8300
Fax : 1-305-665-1800
Email Id :sales@afpschoolsupply.com
