Acuity Merchant Corporation
Women-Owned Disadvantaged Small Business

Tops CMS 1500 Claim Form,Laser,20 lb,8-1/2"x11",250/PK,WE

$53.20
Free shipping
Made in the USA
SPRTOP50135RV
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Description

Health insurance claim forms are printed front and back in red OCR ink on white, letter-size, 20 lb.

bond for convenient scanning.

Forms are compatible with laser printers.

Features

Extra Information

Mandatory & Preferred Sources:
  • Made in the USA

Specs

Manufacturer Name:
Tops
Manufacturer Part Number:
TOP50135RV

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