TOPS Two-part CMS-1500 Forms

Product Specifications

• Assembly Required
  No
• Brand Name
  Tops
• Certifications & Standards
  AMA NUCC Champus
• Copy Types
  Two-Part Carbonless
• Country of Origin
  United States
• Footnote 1
  Carbonless Duplicate
• Form Length
  8.50"
• Form Quantity
  1500
• 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
  50124R
• Manufacturer Website Address
  www.tops-products.com
• Marketing Information
  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. Comes in a continuous format.
• Number of Parts
  2
• 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 Color
  Red
• Print and Ruling Color(s)
  OCR Red
• Printer Compatibility
  Dot Matrix
• Product Color
  White
• Product Name
  Two-part CMS-1500 Forms
• Product Type
  Claim Form
• Punching
  Dot Matrix Pin Feed Holes
• Recycled
  No
• Sheet Size
  8.50" Width x 11" Length
• Shipping Weight (Approximate)
  31 lb
• Special Features
  Carbonless Duplicate-Continuous Form.
• Total Recycled Content Percent
  0%
• Width
  11"