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Tops HCFA Claim Form , Double Sided, Blue and Red Ink - 3000 / Carton
General Info:
- Brand Name: Tops
- Manufacturer Part Number: 50122R
- Packaged Quantity : 3000 / Carton
- Features: Double Sided, Blue and Red Ink
- Features: Scannable
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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. Forms come in a continuous format.
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: 9.50" Length x 11" Width White
Number of Parts: 1 Part
Copy Type: Carbonless
Print: Double Side
Red Ink
Blue Ink
Features: Scannable
Number of Parts: 1 Part
Copy Type: Carbonless
Print: Double Side
Red Ink
Blue Ink
Features: Scannable
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