Loading...

CUSTOMER SERVICE

FEATURED CATEGORIES

per page

Filter By

TOP50126RV   Quick View TOPS Products
Login for Pricing
TOP50126RV
TOPS CMS-1500 Laser Printer Forms
20 lb - 1 Part - 8.50" x 11" Form Size - White - Red Print Color - Paper - 500 / Pack
STOCK CHECK
  • 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"
Quantity: Log in
UPSOK AboutBrand
TOP59870R   Quick View TOPS Products
Login for Pricing
TOP59870R
TOPS 1-part UB-04 Laser-cut Forms
1 Part - 11" x 8.50" Form Size - White - Red Print Color - 2500 / Carton
STOCK CHECK
  • 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
Quantity: Log in
UPSOK AboutBrand
TOP50135RV   Quick View TOPS Products
Login for Pricing
TOP50135RV
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
  • Convenient scanning
  • Compatible with laser printers
Quantity: Log in
UPSOK AboutBrand

Total: 3 items

GO
Manufacturers ( 3 )
TOPS Products(3)
 
Product Type ( 3 ) < + >
Number of Parts ( 2 ) < + >
Form Width ( 2 ) < + >
Basis Weight ( 2 ) < + >
Form Length ( 2 ) < + >
Sheet Size Vertical ( 1 ) < + >
Environmental Certification ( 1 ) < + >
Sheet Size Horizontal ( 1 ) < + >
Sheet Color ( 1 ) < + >
GO
Item(s) : 0
View cart Check out
0

Browse By Category
Breakroom
Appliances Beverage Supplies
Beverages Coffee & Coffee Supplies
Food & Condiments Foodservice Supplies
Tableware
Furniture & Interiors
Boards & Easels Carts & Stands
Desks Educational Furniture
Furniture Accessories Office Decor & Lamps
Organizers & Literature Displays Panels & Dividers
Seating Storage Solutions
Tables
Janitorial & Facility Supplies
Air & Odor Control Cleaning Supplies
Cleaning Tools Climate Control
Facility Supplies Floor Care
Janitorial Equipment Lighting
Paper Products/Dispensers Personal Care & Hygiene
Pest Control Restroom Supplies
Skin & Body Care Tools & Equipment
Waste & Recycling
Office Supplies
Binder Accessories Binders & Report Covers
Business & Travel Cases Calendars & Planners
Cards & Stationery Cash Handling
Envelopes Folders & Filing Supplies
Forms & Recordkeeping General Supplies
Labels Mailing & Shipping
Paper & Writing Pads Stamps & Stamp Pads
Storage Tape & Adhesives
Workstation Organizers Writing
Safety & PPE
Clothing, Protection & Workwear Fire & Smoke Protection
First Aid Kits & Supplies Gloves
Healthcare Supplies Masks
Safety & Security Supplies
School Supplies
Art & Craft Supplies Classroom Decor
Classroom Supplies Drafting Supplies
Games & Sports Teaching Aids & Supplies
Technology
Business Machines & Accessories Computer Supplies
Consumer Electronics & Accessories Printers, Scanners & Supplies

Powered by VIBENet

Prices displayed are List Price. Please LOGIN to view your actual price.

DropDownMenu
DropDownMenu

$

Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms Claim/Medical Forms