Centers For Medicare And Medicaid Services Claim Forms, Cms1500/hcfa1500, 8.5 X 11, 1/page, 250 Forms/pack

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.

• Form Quantity : 250
• Forms Per Page : 1
• Paper Color(s) : White
• Special Features : For Laser Printers
• Pre-Consumer Recycled Content Percent : 0%
• Total Recycled Content Percent : 0%
• Form Size : 8.5 x 11
• Layout : One Form per Sheet
• Global Product Type : Forms-Insurance
• Ship Class Code : M
• Printer Compatibility : Laser
• Print and Ruling Color(s) : OCR Red
• Post-Consumer Recycled Content Percent : 0%
• Principal Heading(s) : 1500 Health Insurance Claim Form
• Paper Stock : 20 lb

Dimensions & Weight

Weight:

2.66 LBS

Width:

8.50 Inches

Height:

1.10 Inches

Depth:

11.00 Inches

Detailed Specs

MPN:

50135RV

Form Quantity:

250

Total Recycled Content Percent:

0%

Paper Stock:

20 lb

Form Size:

8.5 x 11

Special Features:

For Laser Printers

Forms Per Page:

1

Layout:

One Form per Sheet

Printer Compatibility:

Laser

Post-Consumer Recycled Content Percent:

0%

Print and Ruling Color(s):

OCR Red

Pre-Consumer Recycled Content Percent:

0%

Paper Color(s):

White

Global Product Type:

Forms-Insurance

Principal Heading(s):

1500 Health Insurance Claim Form

Ship Class Code:

M