
Health Insurance Claim (CMS) Forms with no sensor bar come in a format approved by the AMA Council of Medical Services. Printed front and back on 20 lb. paper using Optical Character Recognition red ink for scannability, fulfilling requirements of most insurance companies. Compatible with current software programs. The Health Care Finance Administration has changed its name to Centers for Medicare and Medicaid Services (CMS). The only change to the form is the name change from "HCFA" to "CMS". Detached continuous carbonless forms.
| Name | Tops HCFA Claim Form - 1 Part - Carbonless - 9.5" x 11" Sheet Size - White |
| Brand | TOPS |
| Manufacturer | Tops Business Forms |
| Product ID | TOP50122R |
| Manufacturer ID | 50122R |
| Equivalents | 50122R |
| Product Cube | 1.3 |
| Product Weight | 32 lbs |
| Shipping Weight | 32.5 lbs |