Acuity Merchant Corporation
Women-Owned Disadvantaged Small Business

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

$75.39
Free shipping
Made in the USA
SPRTOP50126RV
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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".

Features

Extra Information

Mandatory & Preferred Sources:
  • Made in the USA

Specs

Manufacturer Name:
Tops
Manufacturer Part Number:
TOP50126RV

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