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TOPS® Laser CMS Forms With Bar, 8 1/2″ x 11″, White, Pack Of 250
Original price was: $20.00.$14.99Current price is: $14.99.
Simple-to-read, government-approved form helps you fill out CMS claims
- Centers for Medicare and Medicaid Services (CMS) claim form.
- Compatible with laser printers.
- Features the American Medical Association approved format, revised 2/2012.
- 20-lb white paper is printed on the front and back in red OCR ink for easy reading.
- SFI Certified.
Product Specifications
| Item # | 562817 |
| Manufacturer # | 50135RV |
| Color (Ink) | Red |
| sheet size | Letter (8-1/2″ x 11″) |
| printer compatibility | Laser Printer |
| number of holes punched | 0 |
| double sided | Yes |
| claim type | Medical |
| sensor bars | No |
| number of parts | 1 |
| carbonless | No |
| acid free | No |
| Product Line | Laser CMS Forms With Bar |
| quantity | 250 |
| brand name | TOPS |
| Eco Label Standard | SFI Certified Fiber Sourcing |
| manufacturer | TOPS BUSINESS FORMS |
| Total Quantity | 250 Medical Claim Forms |
| UPC | 025932513503 |
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