- 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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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total
Product Code: TOP50126RV
Product Unit: PK500
120 Stock Available
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Product Details
Product Information
| Code | TOP50126RV |
| Manufacturer | TOPS BUSINESS FORMS |
| Manufacturer Part Number | 43959 |
| 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) | 500 |
| 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 | 025932512605 |
| UNSPSC | 14111806 |
Additional Info
| Package | Small Package; Eligible for UPS Shipping |
Shipping Weight & Item Dimensions ( Carton )
| Weight | 28 lbs. |
| Height | 11.375 in |
| Length | 11.375 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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