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Tops HCFA Claim Form Without Sensor Bar - Double Side Form With Red
General Info:
- Brand Name: Tops
- Manufacturer Part Number: 50126R
- Quantity : 500 / Pack
- Print : Double Side Form With Red Ink
- Sheet Size : 11" Length x 8.50" Width White Double Side
- Print Technology: Lase
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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. Front and back are printed in red OCR ink on white 20 lb. bond without sensor bar. Forms are compatible with laser printers.
Technical Specifications:
Miscellaneous
Recycled: No
Recycled Content: 0%
Post-consumer-waste%: 0%
Assembly Required: No
Recycled Content: 0%
Post-consumer-waste%: 0%
Assembly Required: No
Product Information
Sheet Size: 11" Length x 8.50" Width White Double Side
Number of Parts: 1 Part
Copy Type: Carbonless
Print: Double Side Form With Red Ink
Print Technology: Laser
Number of Parts: 1 Part
Copy Type: Carbonless
Print: Double Side Form With Red Ink
Print Technology: Laser
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