- 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.
<
>
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
58 Stock Available
Select Product Options:
People who bought this also bought
-
Product Code: POP85111710 Stock Available
-
Product Code: BICGSMG11BE707 Stock Available -
Product Code: MMM65414AN280 Stock Available -
Product Code: MMM684SH1100 Stock Available -
Product Code: ALL24645600 Stock Available -
Product Code: BICGSMG11BK7882 Stock Available -
Product Code: MMM810P10K484 Stock Available
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.
Alternative Products
-
CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms TotalProduct Code: TOP50126RV46 Stock Available