Personnel Forms
 Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Self-Sealing Right Window Envelopes
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Self-Sealing Right Window Envelopes • Formerly known as Health Care Administration (HCFA) For HCFA-1500 Claim Forms (TOP5012), sold separately. For Sending Multiple Forms to Insurance Carrier 500 Envelopes/Carton 9 x 12-1/2
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Self-Sealing Right Window Envelopes
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Self-Sealing Right Window Envelopes • Formerly known as Health Care Administration (HCFA) For HCFA-1500 Claim Forms (TOP5012), sold separately. For Sending Claim to Insurance Carrier 2,500 Envelopes/Carton 4-1/8 x 9-1/2
 Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms without Sensor Bar
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms without Sensor Bar • Formerly known as Health Care Administration (HCFA) Expedite Medicare, Medicaid or any private insurance benefits. 20-lb. white paper; OCR red ink for scanning. Self-Sealing Window Envelopes (TOP50941/50992), sold separately. 8-1/2 x 11. For Laser Printers 500 Forms per Pack One-Part Form
 Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms with Sensor Bar
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms with Sensor Bar • Formerly known as Health Care Administration (HCFA) 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. For Laser Printers 500 Forms per Pack One-Part Form
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms without Sensor Bar
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms without Sensor Bar • Formerly known as Health Care Administration (HCFA) Expedite Medicare, Medicaid or any private insurance benefits. 20-lb. white paper; OCR red ink for scanning. Self-Sealing Window Envelopes (TOP50941/50992), sold separately. 8-1/2 x 11. Continuous Form Carbonless duplicate. 1,500 Sets per Carton Two-Part Form
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms with Sensor Bar
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms with Sensor Bar • Formerly known as Health Care Administration (HCFA) 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. Continuous Form Carbonless duplicate. 1,500 Sets per Carton Two-Part Form
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms without Sensor Bar
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms without Sensor Bar • Formerly known as Health Care Administration (HCFA) Expedite Medicare, Medicaid or any private insurance benefits. 20-lb. white paper; OCR red ink for scanning. Self-Sealing Window Envelopes (TOP50941/50992), sold separately. 8-1/2 x 11. Continuous Form 3,000 Forms per Carton One-Part Form
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms with Sensor Bar
Centers for Medicare and Medicaid Services (CMS) 1500 (HCFA) Claim Forms with Sensor Bar • Formerly known as Health Care Administration (HCFA) 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. Continuous Form 3,000 Forms per Carton One-Part Form
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