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Home > Office Supplies > Accounting Books > Tops CMS Health Insurance Claim Form with Sensor Bar

Tops CMS Health Insurance Claim Form with Sensor Bar

11" x 8.5" Form Size - 250 / Pack

Tops CMS Health Insurance Claim Form with Sensor Bar
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Tops CMS Health Insurance Claim Form with Sensor Bar
Availability
In Stock

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$17.94


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Item No.  689256
Mfg Part No.  50135R
Product Condition:  New
Manufacturer:  Tops

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30 Day Return Policy

Highlights for Tops CMS Health Insurance Claim Form with Sensor Bar
  • Media Quantity:(1500 Form Per Sheet)

Marketing Information

CMS 1500 Claim Form is in the AMA approved format. Printed front and back in red OCR ink on white, letter-size 20 lb. bond. Compatible with laser printers.

General Information

  • Product Type: Claim Form
  • Manufacturer Part Number: 50135R
  • Manufacturer Website Address: www.tops-products.com
  • Packaged Quantity: 250 / Pack
  • Manufacturer: Tops
  • Product Name: CMS Health Insurance Claim Form with Sensor Bar
  • Brand Name: Tops
  • Miscellaneous

    Additional Information

    20lb Bond Paper

    Certifications & Standards

    AMA Approved

    Recycled

    No

    Recycled Content

    0%

    Post-consumer-waste%

    0%

    Assembly Required

    No

    Physical Characteristics

    Product Information

  • Color: White
  • Media Quantity: (1500 Form Per Sheet)
  • Print Technology: Laser
  • Print: Front Side Form With Red Ink
  • Form Size: 11" Length x 8.50" Width
  • Powered By GfK Etilize



    Tops CMS Health Insurance Claim Form with Sensor Bar

    11" x 8.5" Form Size - 250 / Pack
    $17.94
    Add To Cart
     



     
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