Centers for Medicare and Medicaid Services Forms, 3000 Forms/Carton

SKU
TOP50122RV
by Tops
$122.63
Out of stock

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning.


Form Quantity3,000
Form Size8.5 x 11
Forms Per Page1
Global Product TypeForms-Insurance
LayoutOne Form per Sheet
Paper Color(s)White
Paper Stock20 lb
Post-Consumer Recycled Content Percent0%
Pre-Consumer Recycled Content Percent0%
Principal Heading(s)1500 Health Insurance Claim Form
Print and Ruling Color(s)OCR Red
Printer CompatibilityDot Matrix
PunchingDot Matrix Pin Feed Holes
Special FeaturesContinuous Form
Total Recycled Content Percent0%
UNSPSC14111806
BrandTops
Weight (lbs)34.400000
UPC025932512209
MPN50122RV
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