About
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.
Specs
| Manufacturer # | |
| Acid Free | No |
| Brand Name | TOPS |
| Carbonless | No |
| Claim Type | Medical |
| Color (ink) | Red |
| Double Sided | Yes |
| Eco Label Standard | SFI Certified Fiber Sourcing |
| Manufacturer | TOPS BUSINESS FORMS |
| Number of Holes Punched | 0 |
| Number of Parts | 1 |
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.
| Attribute Name | Attribute Value |
|---|
TOPS
by
TOPS
50135RV
TOPS Laser CMS Forms With Bar, 8 1/2in x 11in, White, Pack Of 250
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