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Tops Laser Printer Claim Forms, CMS-1500, 1-Part, 9-1/2x11, 500/PK

33 Ratings

$49.31 / PK

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Stock Status: In Stock | Delivery in 1-2 business days

Item #: TOP50126RV | MPN: TOP50126RV
MSRP: $116.06

GSA SIN: 339940
Made in America
TAA Compliant
Section 889 Compliant
Item sold by Pacific Ink, an Economically Disadvantaged Woman Owned Small Business (EDWOSB)

Item Description

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 of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2 x 11.

Manufacturer Name: Tops

Manufactuer Part Number: TOP50126RV

Brand Name: Tops

Country of Origin: UNITED STATES OF AMERICA (US)

Unit of Measure: PK

UNSPSC: 14111806 | UPC: n/a

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Tops Laser Printer Claim Forms, CMS-1500, 1-Part, 9-1/2x11, 500/PK

$49.31 / PK

Item Description

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