Highlights for Tops HCFA Claim Form Without Sensor Bar - Sheet Size:11" Length x 8.50" Width White Double Side
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. Front and back are printed in red OCR ink on white 20 lb. bond without sensor bar. Forms are compatible with laser printers.
General Information
Product Type: Claim FormManufacturer Part Number: 50126RManufacturer Website Address: www.tops-products.comPackaged Quantity: 500 / PackManufacturer: TopsProduct Name: HCFA Claim Form Without Sensor BarBrand Name: TopsMiscellaneous
Recycled
No
Recycled Content
0%
Post-consumer-waste%
0%
Assembly Required
No
Physical Characteristics
Product Information
Print Technology: LaserPrint: Double Side Form With Red InkSheet Size: 11" Length x 8.50" Width White Double SideNumber of Parts: 1 PartCopy Type: Carbonless
Tops HCFA Claim Form Without Sensor Bar
1 Part - Carbonless - 11" x 8.5" Sheet Size - White - 500 / Pack
$22.00
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