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TOPS Centers for Medicare and Medicaid Services (CMS) Forms with Sensor Bar

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.
 
from $15.72

TOPS Centers for Medicare and Medicaid Services (CMS) Forms without Sensor Bar

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.
 
from $29.06

TOPS UB04 Hospital Insurance Claim Form

Printed to Government Printing Office standards. OCR ink for scanning. American Medical Association (AMA) approved format.
 
from $112.40

 
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Customer Feedback

I can't believe the speed and accuracy with which my order was filled! Too often nothing is said about quality customer service, and I would like to take this opportunity to say BRAVO! I couldn't be MORE satisfied with doing business with you. Have a wonderful day, as you have just made mine! Regina – Newark, DE