TOPS® Laser CMS Forms With Bar, 8 1/2" x 11", White, Pack Of 250

TOPS® Laser CMS Forms With Bar, 8 1/2" x 11", White, Pack Of 250
1 / 1
$20.49/pack

Description

    Simple-to-read, government-approved form helps you fill out CMS claims

    • Centers for Medicare and Medicaid Services (CMS) claim form.
    • Compatible with laser printers.
    • Features the American Medical Association approved format, revised 2/2012.
    • 20-lb white paper is printed on the front and back in red OCR ink for easy reading.
    • SFI Certified.

    Related Products

    ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12),

    ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12),

    Satisfy medical billing requirements with compliant CMS-1500 forms...
    Show More
    TOPS™ Laser CMS Claim Forms, 8 1/2" x

    TOPS™ Laser CMS Claim Forms, 8 1/2" x

    Arrange benefits payments from Medicare, Medicaid and insurance co...
    Show More
    ComplyRight™ ADA Dental Claim Forms, Laser, 8-1/2" x

    ComplyRight™ ADA Dental Claim Forms, Laser, 8-1/2" x

    ComplyRight Dental Claim Forms allow healthcare providers to bill ...
    Show More
    Laser 2-Sided Healthcare Medical Billing Statements, No Credit

    Laser 2-Sided Healthcare Medical Billing Statements, No Credit

    Use the Laser 2-Sided Healthcare Medical Billing Statements to bil...
    Show More
    $20.49/pack