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Tops Laser 1-part CMS-1500 Health Insur. Clm Forms
CMS 1500 Claim Form,Laser,20 lb,8-1/2"x11",250/PK,8PK,WE. Health insurance claim forms are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.
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MFG Part No#:
50135RV
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IN STOCK
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Retail Price:$40.99
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Tops UB-04 Continuous Forms
Billing Forms,Continuos,1-Part,20 lb.,9-1/2"x11",2500/CT,WE. UB-04 continuous forms are designed for hospitals to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers for Medicare and Medicaid Services (CMS). Continuous forms are printed on 20 lb. bond paper.
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MFG Part No#:
59770R
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IN STOCK
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Retail Price:$302.99
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Tops 1-part UB-04 Laser-cut Forms
Billing Forms, 20 lb., 8-1/2"x11", 2500/CT, White. UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration format ensures accuracy in reporting all necessary information. Forms meet the requirements of the Centers for Medicare and Medicaid Services (CMS). Forms are printed on 20 lb. bond paper.
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MFG Part No#:
59870R
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IN STOCK
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Retail Price:$342.99
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