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  • Tops CMS-1500 1 Parts Claim Form for Laser Printer, 8-1/2 X 11 in, White, Pack of 500
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Tops CMS-1500 1 Parts Claim Form for Laser Printer, 8-1/2 X 11 in, White, Pack of 500

Item #: 1472729
$60.39 $47.10

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Tops 1-Part CMS-1500 Laser Printer Claim Form measures 8-1/2 in x 11 in and is compatible with laser printers. It is printed with red OCR inks on both sides without a sensor bar and the detached size of the paper is 8-1/2 in x 11 in. It conforms to current physicians' standards for expediting medicare, medicaid payments and meets the requirements of the centers for medicare and medicaid services, champus and the AMA council of medical service. Form is sold as 500 per pack.