TOPS 50122RV Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 3000 Forms/Carton (TOP50122RV)

Office Supplies → Forms, Recordkeeping & Reference Materials → TOPS 50122RV Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 3000 Forms/Carton (TOP50122RV)

TOPS 50122RV Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 3000 Forms/Carton (TOP50122RV)

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Summary

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.

Product Description

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. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 3000; Principal Heading(s): 1500 Health Insurance Claim Form.

Product Specs

Global Product Type	Forms-Insurance
Form Size	8 1/2 x 11
Forms Per Page	1
Form Quantity	3000
Principal Heading(s)	1500 Health Insurance Claim Form
Layout	One Form per Sheet
Punching	Dot Matrix Pin Feed Holes
Printer Compatibility	Dot Matrix
Paper Stock	20-lb.
Paper Color(s)	White
Print and Ruling Color(s)	OCR Red
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Special Features	Continuous Form
Country of Origin	US
Carton Weight	32 lbs.
Carton Pack Quantity	3000 SH
UNSPSC	14111806
Shipping Weight & Item Dimensions
Weight	32
Width	10.125
Height	12.5
Depth	11.625