Manufacturer: Tops Ink & Cartridge Toner
Claim Form 50126R 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.
500 / Pack 5.40 lb Tops HCFA Claim Form Without Sensor Bar Laser Tops Double Side Form With Red Ink 11″ Length x 8.50″ Width White Double Side 1 Part Carbonless Yes
Computer -> Printers & Scanners Ink & Cartridge Toner
Tops HCFA Claim Form Without Sensor Bar Price: $24.99
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