TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack

(7) Reviews Product Number: TOP50135RV
  • 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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$13.90
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Product Description

TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack - CMS 1500 Claim Form is in the AMA approved format. Printed front and back in red OCR ink on white, letter-size 20 lb. bond. 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.
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Product Specifications

  • Additional Information
    20lb Bond Paper
  • Assembly Required
    No
  • Brand Name
    Tops
  • Certifications & Standards
    AMA Approved
  • Color
    White
  • Country of Origin
    United States
  • Environmental Certification
    SFI
  • Environmentally Friendly
    Yes
  • Form Length
    11"
  • Form Quantity
    250
  • Form Size
    8 1/2 x 11 8 1/2 x 11
  • Form Width
    8.50"
  • Forms Per Page
    1
  • Global Product Type
    Forms-Insurance
  • Layout
    One Form per Sheet One Form per Sheet
  • Manufacturer
    Tops
  • Manufacturer Part Number
    50135R
  • Manufacturer Website Address
    www.tops-products.com
  • Number of Holes Punched
    0
  • Number of Parts
    1
  • Packaged Quantity
    250 / Pack
  • Packaging
    250
  • Paper Color(s)
    White
  • Paper Stock
    20-lb.
  • Post-Consumer Recycled Content Percent
    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 Line
    Laser CMS Forms With Bar
  • Product Name
    CMS Health Insurance Claim Form with Sensor Bar
  • Product Type
    Claim Form
  • Recycled
    No
  • Refurbished
    N
  • Sheet Size
    11" Width x 8 1/2" Length
  • Special Features
    For Laser Printers
  • Total Recycled Content Percent
    0%

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