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Tops Business Forms TOP50126RV Tops® Laser CMS-1500 Claim Forms, 1-Part, Carbonless, 8-1/2" x 11", White, 500 Forms/Pack image.
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Tops Business Forms TOP50126RV Tops® Laser CMS-1500 Claim Forms, 1-Part, Carbonless, 8-1/2" x 11", White, 500 Forms/Pack

Item Number: B859471
Manufacturer Part ID: TOP50126RV
Manufacturer: Tops Business Forms

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Retail: $84.95
Price: $82.83
You Save: $2.12 (2.5%)

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    Tops Business Forms TOP50126RV Tops® Laser CMS-1500 Claim Forms, 1-Part, Carbonless, 8-1/2" x 11", White, 500 Forms/Pack

    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, CAMPUS 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.

    Priced unit of measure: Each not Pack

    Minimum/Multiple for Order: 1

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