Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 500 Forms Total
TOPS™
SKU: TOP50126RV
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.
- 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.
| 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 Type Details | CMS-1500 |
| Form Quantity (Total) | 500 |
| Manufacturer | TOPS™ |
| Processing Time | 1-2 Business Days |
| Brand | TOPS™ |
| Mpn | 50126RV |
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