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TOPS 50135RV Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack (TOP50135RV)
Price: $45.74
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. For Laser Printers. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; 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 | 250 |
Principal Heading(s) | 1500 Health Insurance Claim Form |
Layout | One Form per Sheet |
Printer Compatibility | Laser |
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 | For Laser Printers |
Country of Origin | US |
Carton Weight | 22 lbs. |
Carton Pack Quantity | 8 PK |
UNSPSC | 14111806 |
Shipping Weight & Item Dimensions | |
Weight | 21.13 |
Width | 9 |
Height | 8.75 |
Depth | 11.25 |