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TOPS Tops HCFA Claim Form Without Sensor Bar
1 Part - Carbonless - 11" x 8.5" Sheet Size - White - 500 / Pack

Item Number: TOP50126R

Package Size: 1 Pack
CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments
List Price $42.52
You Pay: $39.99
Delivery estimate: 8/4/2014
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Tops HCFA Claim Form - 1 Part - Carbonless - 9.5" x 11" Sheet Size - White - 3000 / CartonTops HCFA Claim Forms Without Sensor Bar - 2 Part - Carbonless - 11" x 8.5" Sheet Size - White
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Description Specifications Reviews
  • 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.

Shipping Weight: 5.19 lbs.

Copy TypeCarbonless
Form Quantity500
Form Size (W x H)8 1/2 in x 11 in
Form Special FeaturesFor Laser Printers
Forms Per Page1
Global Product TypeForms-Insurance Claim
LayoutOne Form per Sheet
Number of Parts1 Part
Paper Color(s)White
Paper Stock20-lb.
Principal Heading(s)1500 Health Insurance Claim Form
PrintDouble Side Form With Red Ink
Print and Ruling Color(s)OCR Red
Print TechnologyLaser
Printer CompatibilityLaser
Product NameHCFA Claim Form Without Sensor Bar
Product TypeClaim Form
Sheet Size11" Length x 8.50" Width White Double Side
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