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Claim/Medical Forms

  • TOPS 1-part UB-04 Laser-cut Forms - 2500 / CT - 1 Part - 11 x 8.50 Form Size - White - Red Print Color - 2500 / Carton

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    UB-04 laser-cut forms are designed for medical offices to file a claim with the patient's insurance company. The Health Care Finance Administration...

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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

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    Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20...

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  • TOPS CMS-1500 Laser Printer Forms - 500 / PK - 20 lb - 1 Part - 8.50 x 11 Form Size - White - Red Print Color - Paper - 500 / Pack

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    CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for ...

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