Loading...
Pinch to zoom
TOPS Two-part CMS-1500 Forms
Product Number: TOP50124RV
Sold Out
This product is sold out and we do not know when we will be getting another shipment. We apologize for any inconvenience this may cause.
Check similar items above to see if a replacement product is available.
TOPS Two-part CMS-1500 Forms
2 PartCarbonless Copy - 8.50" x 11" Sheet Size - White Sheet(s) - Red Print Color - 1500 / Carton
Description:
Two-part CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the AMA Council of Medical Service. Forms come in a continuous format.
- Complies with current physicians' standards for expediting Medicare and Medicaid payments
- Meets requirements of the Centers for Medicare and Medicaid Services
- Meets requirements of Champus and the AMA Council of Medical Service
- Printed in OCR red ink for scanning
- Approved by NUCC
-
Assembly RequiredNo
-
Brand NameTops
-
Certifications & StandardsAMA NUCC Champus
-
Copy TypesTwo-Part Carbonless
-
Country of OriginUnited States
-
Footnote 1Carbonless Duplicate
-
Form Length8.50"
-
Form Quantity1500
-
Form Size8 1/2 x 11 8 1/2 x 11
-
Form Width11"
-
Forms Per Page1
-
Global Product TypeForms-Insurance
-
Height9.5"
-
LayoutOne Form per Sheet One Form per Sheet
-
ManufacturerTops
-
Manufacturer Part Number50124R
-
Manufacturer Website Addresswww.tops-products.com
-
Marketing InformationCMS-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 Parts2
-
Paper Color(s)White
-
Paper Stock20-lb.
-
Post-Consumer Recycled Content Percent0%
-
Pre-Consumer Recycled Content Percent0%
-
Principal Heading(s)1500 Health Insurance Claim Form
-
Print ColorRed
-
Print and Ruling Color(s)OCR Red
-
Printer CompatibilityDot Matrix
-
Product ColorWhite
-
Product NameTwo-part CMS-1500 Forms
-
Product TypeClaim Form
-
PunchingDot Matrix Pin Feed Holes
-
RecycledNo
-
Sheet Size8.50" Width x 11" Length
-
Shipping Weight (Approximate)31 lb
-
Special FeaturesCarbonless Duplicate-Continuous Form.
-
Total Recycled Content Percent0%
-
Width11"