• TOPS Laser CMS Forms With Bar, 8 1/2in x 11in, White, Pack Of 250
1 1

Tops Business Forms

50135RV - TOPS Laser CMS Forms With Bar, 8 1/2in x 11in, White, Pack Of 250

50135RV - TOPS Laser CMS Forms With Bar, 8 1/2in x 11in, White, Pack Of 250

$31.89
$31.89
Sale Sold out
Shipping calculated at checkout.

TOPS Laser CMS Forms With Bar, 8 1/2in x 11in, White, Pack Of 250

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.

  • Mfr part #: 50135RV
  • Manufacturer: Tops Business Forms
  • Unit / pack: PK/250
  • Country of origin: US
View full details