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TOP50126RV   Quick View 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
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  • Approved by the AMA and the National Uniform Claim Committee (NUCC)
  • Printed in red OCR ink without a sensor bar
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TOP59870R   Quick View 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
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  • 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
UPSOK AboutBrand
TOP50135RV   Quick View 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
Stock Check
  • CMS, NUCC and OMB approved format
  • Printed front and back
UPSOK AboutBrand

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