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TOPS CMS-15000 Health Insurance Claim Form, Laser, 8-1/2" x 11", White, 250 SH/PK

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TOPS

TOP 50135RV

Product Description

Laser CMS form.CMS, NUCC and OMB approved format.Printed in red OCR ink on white 20 lb. bond. Size:8-1/2" x 11".250 forms per pack.8 packs per carton. Version (02/12) for use beginning January 6, 2014.

Availability: In stock

$27.00
Must be purchased in multiples of 8 packs
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