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TOPS BUSINESS FORMS CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total (TOP50126RV)
Out of stockSKU: TOP50126RV

TOPS BUSINESS FORMS CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total (TOP50126RV)

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Description

Key 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.
  • 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.
  • 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.
  • 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.

Specifications

  • Form Type Details: CMS-1500
  • Global Product Type: Insurance Forms
  • Dated: No
  • Forms Per Page: 1
  • Form Size: 8.5 x 11
  • Format Indicator: Unbound
  • Form Quantity (Total): 500
  • Copy Types: One-Part (No Copies)
  • Principal Heading(s): 1500 Health Insurance Claim Form
  • Paper Color(s): White
  • Color Family: White
  • Printer Compatibility: Laser
  • Paper Stock: 20 lb Bond
  • Print and Ruling Color(s): OCR Red
  • Product Biodegradability Indicator: N
  • Product Compostability Indicator: N
  • 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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