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Tops HFCA Claim Form - 2 Part - Carbonless - 11" x 8.5" Sheet Size - White
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| Product Details |
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Updated Health Insurance Claim (CMS) Forms with no sensor bar come in a format approved by the AMA Council of Medical Services. Printed front and back on 20 lb. paper using Optical Character Recognition red ink for scannability, fulfilling requirements of most insurance companies. The Health Care Finance Administration has changed its name to Centers for Medicare and Medicaid Services (CMS).
Products are sometimes shown with optional equipment - material choices and/or finishes may affect pricing for furniture.
Some items may not comply with California Proposition 65.
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| Product Specifications |
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| Product Name: |
Tops HFCA Claim Form - 2 Part - Carbonless - 11" x 8.5" Sheet Size - White |
| Manufacturer Name: |
Tops Business Forms |
| Product ID: |
TOP50129 |
| Manufacturer Part Number: |
50129R |
| Vendor Description: |
FORM,CONT,CMS1500,100,WE |
| Product Notes: |
FORM,CONT,CMS1500,100,WE |
| Shipping Weight: |
2.5 lbs. |
| Product Weight: |
2 lbs. |
| Product Cube: |
1 |
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429 In Stock:
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