Highlights for Tops 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 FormManufacturer Part Number: 50122RManufacturer Website Address: www.tops-products.comPackaged Quantity: 3000 / CartonManufacturer: TopsProduct Name: HCFA Claim FormBrand Name: TopsMiscellaneous
Recycled
No
Recycled Content
0%
Post-consumer-waste%
0%
Assembly Required
No
Physical Characteristics
Product Information
Features: ScannablePrint: Double SideSheet Size: 9.50" Length x 11" Width WhiteNumber of Parts: 1 PartCopy Type: Carbonless
Tops HCFA Claim Form
1 Part - Carbonless - 9.5" x 11" Sheet Size - White - 3000 / Carton
$94.11
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