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Tops CMS-1500 Laser Claims Forms w/o Sensor
Tops Business Forms



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 are printed in red OCR ink on white 20 lb. bond without sensor bar. Forms are compatible with laser printers.
Pfx, Number Description Shipping Qty Price Business** ORDER
TOP 50126R CMS Claim Form, f/Laser Printers, 8-1/2"x11", 1-Part, 500SH/PK 500 EA/PK 28.73/PK OUT OF STOCK

Business pricing is available with a verifiable FEIN.
Email cust_serv@officequarters.com or call (518) 453-6563 for more information.
Cross Reference
OQ part number Equivalent
TOP 50126R 025932501265 2593250126 TOP50126R TOP-50126R TOPS50126R TOPS-50126R





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