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

  • 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.
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SKU: TOP50135RV Category: Tag:

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.

TOP50135RV
TOP-50135RV

Additional information

Brand

TOPS BUSINESS FORMS

Global Product Type

Insurance Forms

Form Type Details

CMS-1500

Dated/Undated

Undated

Forms Per Page

1

Form Size

8.5 x 11

Format Indicator

Unbound

Form Quantity (Total)

250

Copy Types

One-Part (No Copies)

Principal Heading(s)

1500 Health Insurance Claim Form

Paper Color(s)

White

Color Family

White

Printer Compatibility

Laser

Paper Stock

20 lb Bond

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

Laser Printer Compatible

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