Product Information:  :::::::::::::::::::::

TOPS : Centers for Medicare and Medicaid Services (CMS) Forms without Sensor Bar
TOPS: Centers for Medicare and Medicaid Services (CMS) Forms without Sensor Bar CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or any private insurance benefits. Top sensor bar for microfiche duplication is required in some states. 20-lb. white paper; OCR red ink for scanning. Self-Sealing Window Envelopes (TOP50941/50992), sold separately. 8-1/2 x 11.

Continuous Form :      Prefix and Stock Number: TOP-50122
Item # List Price Unit Qty
9970476 3,000 Forms per Carton One-Part Form $108.15 CT
Continuous Form : Carbonless duplicate.      Prefix and Stock Number: TOP-50124
Item # List Price Unit Qty
9970468 1,500 Sets per Carton Two-Part Form $136.05 CT
For Laser Printers :      Prefix and Stock Number: TOP-50126
Item # List Price Unit Qty
9970450 500 Forms per Pack One-Part Form $24.23 PK


  

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