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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"

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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

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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

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Claim/Medical Forms

Total: 3 product(s)

Manufacturers ( 3 )

TOPS Products(3)

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Binder Spine Inserts/Labels	Padfolios & Pad Holders
Index Divider	Pocket Folders
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Business Cards	Planners & Appointment Books
Cards & Stationery Sets	Planners & Refills
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Employment Forms	Adhesive Notes & Dispensers
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