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

Item: TOP50135RV

UOM
Description
  • 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

TOPS™ TOP50126RV

Product Details

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.

Specifications
Global Product Type Insurance Forms
Form Type Details CMS-1500
Dated No
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 Indicator N
Product Compostability Indicator N
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
Special Features Laser Printer Compatible