TOPS 1-part CMS-1500 Continuous Forms

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TOPS 1-part CMS-1500 Continuous Forms - 20 lb - 1 Part - 8.50" x 11" Form Size - Red, Red Print Color - Paper - 3000 / Carton
$156.07Retail $205.35
Manufacturer:
Tops Products
Item:
50122RV
UPC Code:
025932512209
Our Part #
TOP50122RV
Condition
New
Extended Warrenty
1 Year Extended Warrenty$14.89
$156.07EA
$205.35
Availability In Stock
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Product description

One-part 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, Champus and the AMA Council of Medical Service. One-part forms come in a continuous format with no bar ream margins and are printed on the front and back with red OCR ink. Detached size of the 20 lb. paper is 8-1/2" x 11".



Specifications

Basis Weight
20 lb
Brand Name
TOPS
Certifications & Standards
  • AMA
  • NUCC
  • Champus
Color
White
Country of origin
United States
Environmentally Friendly
Yes
Form Length
8.50"
Height
9.5"
Manufacturer Part Number
50122RV
Manufacturer Website Address
http://www.tops-products.com
Material
Paper
Number of Parts
1
Packaged Quantity
3000 / Carton
Print Color
Red
Printed Side
Front
Product Name
1-part CMS-1500 Continuous Forms
Recycled
No
Width
11"
Manufacturer
TOPS Products
Product Type
Health Insurance Form

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