TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

Item # TOP50126RV

  • 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.
SmallPackage
$63.84/PK
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.

Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
Specifications
  • 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) 500
  • 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
  • Product Biodegradability in Days 0
  • Pre-Consumer Recycled Content Percent 0%
  • Post-Consumer Recycled Content Percent 0%
  • Total Recycled Content Percent 0%
  • Special Features Laser Printer Compatible
  • Country of Origin US
  • Carton Pack Quantity 5
  • Pack Quantity 500
  • UPC 025932512605
  • UNSPSC 14111806