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TOPS™ Laser CMS Claim Forms, 8 1/2″ x 11″, Pack Of 500

Original price was: $58.38.Current price is: $15.14.

SKU: ctqvlwhi01345 Category: Tag:

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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