Tops HCFA Claim Form Without Sensor Bar - White

The CMS-1500 form is the standard form in use by health care professionals, for expediting Medicaid and Medicare payments. These forms are printed on 20 lb. white paper, front and back, and work with laser printers to make your experience as easy and hassle-free as possible. These forms all meet the current requirements of healthcare professionals and major medical organizations such as the Centers for Medicaid and Medicare Services and the American Medical Association council of Medical Service. These forms come 500 to a pack.

Dimensions: 11" x 8.5" Sheet Size, 1 part carbonless
Quantity: 500/pack

UPC Code: 25932501265
UNSPSC Number: 14111810
Moore Number: TOP50126R
Barcode: 285352
Alternate SKU's or Part Numbers: TOP-50126R, TOP50135R

Brand Name	Tops
Manufacturer	Tops Products
Manufacturer Part Number	50126R
Manufacturer Website Address	www.tops-products.com
Packaged Quantity	500 / Pack
Product Name	HCFA Claim Form Without Sensor Bar
Product Type	Claim Form
Assembly Required	No
Country of Origin	United States
Green Compliance Certificate/Authority	SFI
Green Compliant	Yes
Post-consumer-waste%	0%
Recycled	No
Recycled Content	0%
Copy Type	Carbonless
Number of Parts	1 Part
Print	Double Side Form With Red Ink
Print Technology	Laser
Sheet Size	11" Length x 8.50" Width White Double Side

---

Product Rating: (0.00)   # of Ratings: 0   (Only registered customers can rate) There are no comments for this product.