TOPS™
CMS- 1500 Medicare/ Medicaid Forms for Laser Printers, One- Part (No Copies), 8.5 x 11, 250 Forms Total
Item #: TOP50135RV
Shippable Product - 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.
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.
Manufacturer:
TOPS™
Catalog:
eCatalog
Catalog page:
N/A
Technical specs:
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
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