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TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

(2) Reviews Product Number: TOP50126RV
  • 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.
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$25.27
$22.27 Bulk Pricing $22.27 when you buy 15 or more
2-Day Shipping Estimated Delivery Tue 11/27 Wed 11/28
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Product Description

TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack - CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Printed front and back in red OCR ink on white 20 lb. bond without sensor bar. Compatible with laser printers.

  • 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.

Product Specifications

  • Assembly Required
    No
  • Brand Name
    Tops
  • Certifications & Standards
    AMA NUCC Champus
  • Color
    White
  • Country of Origin
    United States
  • Environmental Certification
    SFI
  • Environmentally Friendly
    Yes
  • Form Length
    8.50"
  • Form Quantity
    500
  • Form Size
    8 1/2 x 11 8 1/2 x 11
  • Form Width
    11"
  • Forms Per Page
    1
  • Global Product Type
    Forms-Insurance
  • Height
    9.5"
  • Layout
    One Form per Sheet One Form per Sheet
  • Manufacturer
    Tops
  • Manufacturer Part Number
    50126R
  • Manufacturer Website Address
    www.tops-products.com
  • Material
    Paper
  • Number of Parts
    1
  • Packaged Quantity
    500 / Pack
  • Paper Color(s)
    White
  • Paper Stock
    20-lb.
  • Post-Consumer Recycled Content Percent
    0%
  • Post-consumer-waste%
    0%
  • Pre-Consumer Recycled Content Percent
    0%
  • Principal Heading(s)
    1500 Health Insurance Claim Form
  • Print and Ruling Color(s)
    OCR Red
  • Print Color
    Red
  • Print Technology
    Laser
  • Printer Compatibility
    Laser
  • Product Name
    HCFA Claim Form Without Sensor Bar
  • Product Type
    Claim Form
  • Recycled
    No
  • Recycled Content
    0%
  • Sheet Size
    8 1/2" Width x 11" Length
  • Special Features
    For Laser Printers
  • Total Recycled Content Percent
    0%
  • Width
    11"

Customer Reviews

5 2 reviews

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