EXPIDITED SHIPPING - Estimated Delivery Mon 6/5
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. Continuous Form. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 3,000; Principal Heading(s): 1500 Health Insurance Claim Form.
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.
|Categories||TOPS Office SuppliesTOPS Forms, Recordkeeping & Reference MaterialsTOPS Forms|
|Manufacturer Stock No.||50122RV|
|Form Size||8.5 x 11|
|Forms Per Page||1|
|Global Product Type||Forms-Insurance|
|Layout||One Form per Sheet|
|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|
|Printer Compatibility||Dot Matrix|
|Punching||Dot Matrix Pin Feed Holes|
|Special Features||Continuous Form|
|Total Recycled Content Percent||0%|
|Assembly Required||No assembly is required|
|Contains Recycled Materials||N|
|Unit of Measure||CT|
|Ships via UPS||Y|
|Carton Pack Quantity||3000 SH|
|This item is sold by the||CT which contains 3000 SH|
|Country of Origin||US|
zoolie.com is a leading provider of office supplies including printer supplies, industrial supplies, janitorial supplies, and more. Our goal is to provide businesses with the lowest price on the highest-quality items and the TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 3000 Forms/Carton (50122RV) is no exception.
We work with customers from all industries, including schools, government, medical, accounting, corporate, educational, healthcare, finance, military and private industry.
All products on zoolie.com including the TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 3000 Forms/Carton (50122RV) are manufactured under ISO 9001 Quality Standards. We also keep a full line of TAA compliant products. Being green is an important part of our business and we are meeting all Green Compliance Standards.
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