https://images.staplesadvantage.com/is/image/Staples/sp23533959_sc7
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$176.05Market price
  • 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
MADE IN AMERICA

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Item #: 2408490Model #: 50122RV
$176.05Market price
3000/Carton
  • Free account, unlimited users
  • Everyday low business prices
  • Custom pricing & flexible terms available