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Tops HCFA Claim Form Without Sensor Bar

Computer Supplies Sale

Description:

www.tops-products.com

CMS-1500 form 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. Printed front and back in red OCR ink on white 20 lb bond without sensor bar. Compatible with laser printers.

Claim Form 50126R Tops HCFA Claim Form Without Sensor Bar Tops 5.4 lb US No 0% 0% No 11" Length x 8.5" Width White Double Side 1 Part Carbonless Double Side Form With Red Ink 500 / Pack Laser

New from $22.99

Tops HCFA Claim Form Without Sensor Bar

$22.99





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