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TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack (50126RV)

  • 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.
More Details
$37.83 $71.47
IN STOCK

Product#: 50126RV

EXPIDITED SHIPPING - Estimated Delivery Tue 1/31

Product Description

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. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; 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.

Product Specification

Manufacturer TOPS
Categories TOPS Office SuppliesTOPS Forms, Recordkeeping & Reference MaterialsTOPS Forms
Manufacturer Stock No. 50126RV
MPN TOP50126RV
Model# 50126RV
UPC Code 025932512605
UNSPSC Code 0
Form Quantity 500
Form Size 8.5 x 11
Forms Per Page 1
Global Product Type Forms-Insurance
Layout One Form per Sheet
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
Printer Compatibility Laser
Special Features For Laser Printers
Total Recycled Content Percent 0%
Assembly Required No assembly is required
Contains Recycled Materials N
Green Product N
Unit of Measure PK
Item Weight 5.193
Ships via UPS Y
Carton Pack Quantity 5 PK
Brand TOPS
Country of Origin US
UNSPSC Number 14111806

TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack (50126RV) Reviews

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