Universal format fits in standard credit card imprinters. Carbonless: no carbon tissues with credit card imprints to worry about. Ruled. Triplicate sets. Perforated for easy separation
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR...
Universal format fits in standard credit card imprinters. Carbonless: no carbon tissues with credit card imprints to worry about. Ruled. Triplicate sets.