TOPS™ Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 250 Forms Total

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Low stock - 7 items left
Inventory on the way

Brand: TOPS™

MPN: #50135RV made by TOPS™

Order Processing: 1-2 Business Days + Delivery Time

Quantity

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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.

Product Features

- 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.

Product Specifications

Dated/Undated	Undated
Forms Per Page	1
Paper Color(s)	White
Color Family	White
Paper Stock	20 lb Bond
Format Indicator	Unbound
Post-Consumer Recycled Content Percent	0%
Pre-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Ship Class Code	M
Global Product Type	Insurance Forms
Copy Types	One-Part (No Copies)
Form Size	8.5 x 11
Printer Compatibility	Laser
Print and Ruling Color(s)	OCR Red
Principal Heading(s)	1500 Health Insurance Claim Form
Special Features	Laser Printer Compatible
Form Quantity (Total)	250
Form Type Details	CMS-1500
Manufacturer	TOPS™
Processing Time	1-2 Business Days
Mpn	50135RV
Brand	TOPS™