Tops Laser Cms Forms With Bar, 8 1/2" X 11", White, Pack Of 250

SKU: SPY-TOP50135RV
Out of stock
Out of stock
  • Centers for Medicare and Medicaid Services (CMS) claim form.
  • Compatible with laser printers.
  • Features the American Medical Association approved format, revised 2/2012.
  • 20-lb white paper is printed on the front and back in red OCR ink for easy reading.
  • SFI Certified.
Unit Price
Quantity
US$ 24.45
Out of stock
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Brand
Tops
Color
White
Manufacturer
TOPS BUSINESS FORMS
Features
Double Sided
Manufacturer Part Number
50135RV
Packaged Quantity
250 / Pack
Product Type
Medical Claim Form
Assembly Required
No
Country of Origin
US
Global Product Type
Insurance Forms
Packaging
250
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Special Features
Laser Printer Compatible
Total Recycled Content Percent
0%
Recycled
No
Product Line
Laser CMS Forms With Bar
Environmentally Friendly
Yes
Environmental Certification
SFI
Certifications & Standards
CMS NUCC OMB
Marketing Information
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.
Product Name
CMS-15000 Health Insurance Claim Forms
Sheet Size
Letter (8-1/2" x 11")
Number of Parts
1
Print Technology
Laser
Paper Color(s)
White
Copy Types
One-Part (No Copies)
Form Size
8.5 x 11 8.5 x 11
Forms Per Page
1
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Print Color
Red
Printer Compatibility
Laser Laser Printer
Paper Stock
20 lb Bond
Additional Information
20lb Bond Paper
Quantity
250
Dated/Undated
Undated
Refurbished
N
Form length
11"
Form width
8.50"
Barcode
0818288546512
Description

TOPS Laser CMS Forms With Bar, 8 1/2" x 11", White, Pack Of 250 - Simple-to-read, government-approved form helps you fill out CMS claims

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Shipping from
This product is shipped from our supplier's warehouse in Colombus, WI, United States
Our guarantee
This product is brand new and includes the manufacturer's warranty, so you can buy with confidence.
A 25% handling charge is levied against all authorized returns except those due to our error. Unauthorized returns are subject to a 40% handling charge. Damages & defects must be reported to us within 14 days.
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