Tops HCFA Claim Forms w/ Sensor Bar "HCFA forms with AMA approved formats, revised December 1990. Printed front and back in red OCR ink on 20 lb. paper. With our without sensor bar at top for microfiche compatibility. 50125 is for laser applications. Detached size: 8-12"" x 11""." (General_Office_Supplies > Forms > Claim_Forms)
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Claim Forms
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Tops HCFA Claim Forms w/ Sensor Bar
Tops HCFA Claim Forms w/ Sensor Bar

"HCFA forms with AMA approved formats, revised December 1990. Printed front and back in red OCR ink on 20 lb. paper. With our without sensor bar at top for microfiche compatibility. 50125 is for laser applications. Detached size: 8-12"" x 11""."


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