Tops HCFA Claim Form - 3000 per carton TOP50122R + Click to enlarge

Tops HCFA Claim Form - 3000 per carton

1 Part - Carbonless - 9.50" x 11" Sheet Size - White - 3000 / Carton

This product is discontinued.

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. Detached size of the 20 lb. paper is 8-1/2" x 11".

SKU
TOP50122R
Manufacturer
Tops Products
Manufacturer Part Number
50122R
Brand Name
Tops
Packaged Quantity
3000 / Pack
Product Type
Claim Form
Sheet Size
11" W x 9.5" L
Number of Parts
1 Part
Copy Type
Carbonless
Print
Double Side
Features
Scannable
Certifications & Standards

AMA Council of Medical Service

Recycled
No
Green Compliant
Yes
Green Compliance Certificate/Authority
SFI