Tops Products HCFA Claim Form
$ 122.17 In Stock Free Ground Shipping
Condition:
New
Item No.
689252
Mfg Part No.
50122R

Product Information for Tops Products HCFA Claim Form

Highlights for Tops Products HCFA Claim Form

  • Sheet Size:9.50" Length x 11" Width White

Marketing Information

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.

General Information

  • Product Type: Claim Form
  • Manufacturer Part Number: 50122R
  • Manufacturer Website Address: www.tops-products.com
  • Packaged Quantity: 3000 / Carton
  • Manufacturer: Tops
  • Product Name: HCFA Claim Form
  • Brand Name: Tops
  • Miscellaneous

    Recycled

    No

    Recycled Content

    0%

    Post-consumer-waste%

    0%

    Assembly Required

    No

    Physical Characteristics

    Product Information

  • Features: Scannable
  • Print: Double Side
  • Sheet Size: 9.50" Length x 11" Width White
  • Number of Parts: 1 Part
  • Copy Type: Carbonless