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Tops CMS Health Insurance Claim Form with Sensor Bar - 11" x 8.5" Form Size - 250 / Pack

Item #: TOP50135R

Tops CMS Health Insurance Claim Form with Sensor Bar TOP50135R
List Price $20.44
Site Price $11.78 PK
You Save $8.66 - 42%
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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

ManufacturerTops
Manufacturer Part Number50135R
Manufacturer Website Addresswww.tops-products.com
Product NameCMS Health Insurance Claim Form with Sensor Bar
Packaged Quantity250 / Pack
Product TypeClaim Form

Product Information

Media Quantity(1500 Form Per Sheet)
Form Size11" Length x 8.50" Width
Print
  • Front Side Form With Red Ink
  • Back Side Form With Red Ink
Print TechnologyLaser
ColorWhite

Miscellaneous

Certifications & Standards

AMA Approved

RecycledNo
Recycled Content0%
Post-consumer-waste%0%
Assembly RequiredNo

Accessories

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