-27%
TOPS Laser CMS Forms With Bar, 8 1/2in x 11in, White, Pack Of 250
Original price was: $41.00.$29.99Current price is: $29.99.
The More You Buy, The More You Save:
| Quantity | 2 + | 5 + | 10 + |
|---|---|---|---|
| Price | $29.96 | $29.93 | $29.90 |
Out of stock
Simple-to-read, government-approved form helps you fill out CMS claims
- Centers for Medicare and Medicaid Services (CMS) claim form.
- Compatible with laser printers.
- Features the American Medical Association approved format, revised 2/2012.
- 20-lb white paper is printed on the front and back in red OCR ink for easy reading.
- SFI Certified.
ACID FREE
No
BRAND NAME
TOPS
CARBONLESS
No
CLAIM TYPE
Medical
COLOR (INK)
Red
DOUBLE SIDED
Yes
ECO LABEL STANDARD
SFI Certified Fiber Sourcing
MANUFACTURER
TOPS BUSINESS FORMS
NUMBER OF HOLES PUNCHED
0
NUMBER OF PARTS
1
PRINTER COMPATIBILITY
Laser Printer
PRODUCT LINE
Laser CMS Forms With Bar
QUANTITY
250
SENSOR BARS
No
SHEET SIZE
Letter (8-1/2" x 11")
TOTAL QUANTITY
250 Medical Claim Forms
| Weight | 2.63 lbs |
|---|---|
| Dimensions | 11.25 × 8.6 × 1.15 in |
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