Centers For Medicare And Medicaid Services Claim Forms, Cms1500/hcfa1500, 8.5 X 11, 500 Forms/pack
- SKU:
- TOP50126RV |
- UPC:
- 025932512605 |
-
Brand:
TOPS™
In Stock
$43.89
Saving
$27.58
MSRP:
$71.47
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Description
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 : 500
- 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:
- 5.19 LBS
- Width:
- 8.50 Inches
- Height:
- 2.20 Inches
- Depth:
- 11.00 Inches
Detailed Specs
- MPN:
- 50126RV
- Paper Stock:
- 20 lb
- Form Quantity:
- 500
- Form Size:
- 8.5 x 11
- Total Recycled Content Percent:
- 0%
- Special Features:
- For Laser Printers
- Principal Heading(s):
- 1500 Health Insurance Claim Form
- Layout:
- One Form per Sheet
- Paper Color(s):
- White
- Printer Compatibility:
- Laser
- Forms Per Page:
- 1
- Global Product Type:
- Forms-Insurance
- Pre-Consumer Recycled Content Percent:
- 0%
- Post-Consumer Recycled Content Percent:
- 0%
- Print and Ruling Color(s):
- OCR Red
- Ship Class Code:
- M