Description
Arrange benefits payments from Medicare, Medicaid and insurance companies
- 20-lb paper is printed front and back with red OCR ink for improved scanning and reproduction.
- Approved by the American Medical Association for official use.
- SFI Certified.
Product Specifications
| Item # | 561809 |
| Manufacturer # | 50126RV |
| Color (Ink) | Red |
| sheet size | Letter (8-1/2″ x 11″) |
| printer compatibility | Inkjet 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 | HCFA Forms |
| binding type | Gummed |
| quantity | 500 |
| brand name | TOPS |
| Eco Label Standard | SFI Certified Fiber Sourcing |
| manufacturer | TOPS BUSINESS FORMS |
| Packaged Quantity | 500 / Pack |
| Product Color | White |
| Product Material | Paper |






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