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TOP50126RV   TOPS Products
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TOPS CMS-1500 Laser Printer Forms
20 lb - 1 Part - 8.50" x 11" Form Size - White - Red Print Color - Paper - 500 / Pack
  • Approved by the AMA and the National Uniform Claim Committee (NUCC)
  • Printed in red OCR ink without a sensor bar
  • Compatible with laser printers
  • Detached size: 8-1/2" x 11"
UPSOK AboutBrand
TOP59870R   TOPS Products
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TOPS 1-part UB-04 Laser-cut Forms
1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton
  • Continuous forms are designed for hospitals to file a claim with the patient's insurance company
  • Forms are printed to GPO standards in OCR ink on 20 lb. bond
  • Health Care Finance Administration format ensures accuracy in reporting all necessary information
  • 11" Length x 8.50" Width; 2500 / Carton
  • Replaces the UB-92
UPSOK AboutBrand
TOP50135RV   TOPS Products
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TOPS CMS-15000 Health Insurance Claim Forms
20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack
  • CMS, NUCC and OMB approved format
  • Printed front and back
  • Convenient scanning
  • Compatible with laser printers
UPSOK AboutBrand

Total: 3 product(s)

Manufacturers ( 3 )
TOPS Products(3)
 
Product Type ( 3 ) +
Number of Parts ( 2 ) +
Form Width ( 2 ) +
Basis Weight ( 2 ) +
Form Length ( 2 ) +
+

Subtotal : 0.00

Item(s) : 0

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