Product Information:  :::::::::::::::::::::

TOPS : Centers for Medicare and Medicaid Services (CMS) Forms Self-Sealing Right Window Envelopes
TOPS: Centers for Medicare and Medicaid Services (CMS) Forms Self-Sealing Right Window Envelopes For CMS-1500 claim forms (TOP5012), sold separately, (formerly known as HCFA-1500 claim forms).

For Sending Claim to Insurance Carrier :      Prefix and Stock Number: TOP-50941
Item # List Price Unit Qty
9970443 2,500 Envelopes/Carton 4-1/8 x 9-1/2 $298.15 CT
For Sending Multiple Forms to Insurance Carrier :      Prefix and Stock Number: TOP-50992
Item # List Price Unit Qty
9970435 500 Envelopes/Carton 9 x 12-1/2 $134.15 CT


  

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