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TOPS HR & Medical Forms

Laser CMS w/o Bar, 20 lb, Laser, 500 SH/PK
Item : 309934
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  • 20 lb.
  • Forms Per Page: 1
  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
47.99 $47.99
500/Pack
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TOPS Health Insurance Claim Form, Laser, 100/Pack (CMS1500L1V)
Item : 486075
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  • Sheet size: 8 1/2" x 11"
  • Number of parts: 1
  • Double sided printing
19.99 $19.99
100/Pack
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Daily Attendance Cards
Item : 370114
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  • 50 forms
  • 1 form per page
  • Track employee attendance for the entire year with absence codes
11.99 $11.99
50/Pack
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TOPS® Employee Record Master File Jacket, 9 1/2 x 11 3/4, 10 Point Manila, 20/Pack (3280)
Item : 619441
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  • Record and update employment history on the preprinted form on front side
  • Holds pre- and post-hiring forms
  • Closed sides
26.99 $26.99
20/Pack
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Health Insurance Claim Form, 2-Part, Continuous, 100 Sets
Item : 486076
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  • 9-1/2" x 11"
  • Ink print color on paper: OCR Red
  • Carbonless Triplicate
19.99 $19.99
100 Sets
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TOPS® Employees Personnel File, Ruled, Green, 11 3/4" x 9 1/2", 20 Pk
Item : 619667
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  • 11 3/4" x 9 1/2"
  • 20 forms
  • 1 form per page
19.99 $19.99
20/Pack
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TOPS™ UB04 Hospital Insurance Claim Form, 11 x 8 1/2, 2500/Carton (59870R)
Item : TOP59870R
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  • UB04 hospital insurance claim form.
  • Brand: TOPS™
  • Product Type Refinement: Insurance Claim
198.99 $198.99
2500/Carton
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TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms, 11 x 8 1/2, 250/Pack (50135R)
Item : TOP50135RV
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  • Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar.
  • Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning.
  • Brand: TOPS™
23.49 $23.49
250/Pack
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TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms, 11 x 8 1/2, 1500/Carton (50124R)
Item : 2408491
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  • Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar.
  • Continuous Form.
  • Brand: TOPS™
96.99 $96.99
1500/Carton
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TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms, 11 x 8 1/2, 3000/Carton (50122R)
Item : TOP50122RV
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  • Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar.
  • Brand: TOPS™
  • Product Type Refinement: Insurance Claim
161.99 $161.99
3000/Carton
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