Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack
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TOPS™

TOPS™ Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

Item: TOP50126RV

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  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.
$49.99
PK
Made In The USA
  • Product Details
  • Description
  • Warranty Information
Form Size: 8 1/2 in x 11 in   Format: Loose Form  
Form Type: Insurance Claim   Layout: One Form per Sheet  
Paper Color(s): White   Paper Stock: 20-lb.  
Post-Consumer Recycled Content Percent [Nom]: 0 %   Pre-Consumer Recycled Content Percent [Nom]: 0 %  
Principal Heading(s): 1500 Health Insurance Claim Form   Print and Ruling Color(s): OCR Red  
Printer Compatibility: Laser   Punching: Unpunched  
Total Recycled Content Percent [Nom]: 0 %  

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