Tops HCFA Claim Forms Without Sensor Bar - Red Ink - 1500 / Carton

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Tops
 General Info:
  • Brand Name:  Tops
  • Manufacturer Part Number:  50124R
  • Quantity:  1500 / Carton
 Product Highlights:
  • Number of Parts:  2 Part
  • Sheet Size :  11" Length x 8.50" Width White
  • Ink Color :  Red
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 8 IN STOCK NOW$135.89
Quantity:  

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. Forms come in a continuous format.


Technical Specifications:
Miscellaneous
Recycled: No
Recycled Content: 0%
Post-consumer-waste%: 0%
Assembly Required: No

Product Information
Sheet Size: 11" Length x 8.50" Width White
Number of Parts: 2 Part
Copy Type: Carbonless
Print: Red Ink


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