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

    Product Code: TOP50135RV
    Product Unit: PK250
    TOPS™
    56 Stock Available
    • 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.
    Select Product Options:
    CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

Product Details

Product Information

Code TOP50135RV
Manufacturer TOPS BUSINESS FORMS
Manufacturer Part Number 43958
Global Product Type Insurance Forms
Form Type Details CMS-1500
Dated/Undated Undated
Forms Per Page 1
Format Indicator Unbound
Copy Types One-Part (No Copies)
Color Family White
Form Size 8.5 x 11
Form Quantity (Total) 250
Principal Heading(s) 1500 Health Insurance Claim Form
Paper Color(s) 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
UPC 025932513503
UNSPSC 14111806

Additional Info

Package Small Package; Eligible for UPS Shipping

Shipping Weight & Item Dimensions ( Carton )

Weight 22 lbs.
Height 8.75 in
Length 11.25 in
Width 9 in

Additional Info

Country of Origin United States of America (the)

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.

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