CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

SKU
TOP50135RV
by TOPS
$26.63 /PACKAGE

Delivered in 2-4 business days

In stock
  • 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.

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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.


Color FamilyWhite
Copy TypesOne-Part (No Copies)
Dated/UndatedUndated
Form Quantity (Total)250
Form Size8.5 x 11
Form Type DetailsCMS-1500
Format IndicatorUnbound
Forms Per Page1
Global Product TypeInsurance Forms
Paper Color(s)White
Paper Stock20 lb Bond
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 CompatibilityLaser
Product Biodegradability in Days0
Special FeaturesLaser Printer Compatible
Total Recycled Content Percent0%
BrandTOPS
Weight (lbs)2.5900
UPC025932513503
MPN50135RV
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