Picture of TOPS Laser CMS Claim Forms, 8 1/2in x 11in, Pack Of 500

TOPS Laser CMS Claim Forms, 8 1/2in x 11in, Pack Of 500

FORM,CMS,LASER,W/O BAR,500SH
SKU: 561809
$71.47
Arrange benefits payments from Medicare, Medicaid and insurance companies 20-lb paper is printed front and back with red OCR ink for improved scanning and reproduction. Approved by the American Medical Association for official use. SFI Certified.
Products specifications
Attribute nameAttribute value
number of holes punched0
Eco Label StandardSFI Certified Fiber Sourcing
manufacturerTOPS BUSINESS FORMS
carbonlessNo
brand nameTOPS
Product LineHCFA Forms
Product ColorWhite
sheet sizeLetter (8-1/2" x 11")
Color (Ink)Red
printer compatibilityInkjet Printer
acid freeNo
quantity500
binding typeGummed
Packaged Quantity500
Product MaterialPaper
number of parts1
claim typeMedical
sensor barsNo
double sidedYes