Tops® Cms-1500 Claim Forms With Sensor Bar - TOP50129R
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Cms-1500 Claim Forms With Sensor Bar by Tops®
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Tops® Cms-1500 Claim Forms With Sensor Bar
[ Continuous 2-Part, 8-1/2X11, 100 Sets/Pack ; 2 LBS]
Free Shipping over $45 List Price: $22.80
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Item # TOP50129R
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Tops® Cms-1500 Claim Forms With Sensor Bar CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Type: Insurance Claim; Format: Continuous Form Set; Form Size: 8 1/2 x 11; Sheet Size: NA.


Manufacturer #: TOP-50129R
Product Details Cms-1500 Claim Forms With Sensor Bar, Continuous 2-Part, 8-1/2X11, 100 Sets/Pack
Copy Type: Black Print Carbonless Duplicate
Form Size: 8 1/2 x 11
Form Type: Insurance Claim
Format: Continuous Form Set
Layout: One Form per Sheet
Paper Stock: 20-Lb.
Paper/Shading Color(s): White
Principal Heading(s): 1500 Health Insurance Claim Form
Print and Ruling Color(s): OCR Red
Printer Compatibility: Dot Matrix
Punching: Dot Matrix Holes
UPC: 50025932501291
Keywords: Carbonless Duplicate, Claim Form, Claim Forms, CMS, CMS-1500, Continuous Form, HCFA Claim Form, Health Care Claim Forms, Human Resources, Insurance Forms, Personnel, Personnel Forms, TOPS

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