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
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$20.69/pack($0.08/Medical Claim Form(s))

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.

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    $20.69/pack($0.08/Medical Claim Form(s))