Tops Centers For Medicare And Medicaid Services Claim Forms, Cms1500/Hcfa1500, 8.5 X 11, 1/Page, 250 Forms/Pack

SKU: SPY-TOP50135RV
  • 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.
Unit Price
Quantity
Subtotal
US$ 27.26
US$ 27.26
US$ 27.101%
2
US$ 27.001%
3
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Brand
Principal Heading(s)
1500 Health Insurance Claim Form
Sheet Size
11" Width x 8.50" Length
Number of Parts
1
Print Technology
Laser
Paper Color(s)
White
Form Quantity
250
Form Size
8.5 x 11 8.5 x 11
Forms Per Page
1
Layout
One Form per Sheet One Form per Sheet
Product Name
CMS Health Insurance Claim Form with Sensor Bar
Print and Ruling Color(s)
OCR Red
Print Color
Red
Printer Compatibility
Laser
Paper Stock
20 lb
Additional Information
20lb Bond Paper
Refurbished
N
Form length
11"
Form width
8.50"
Post-Consumer Recycled Content Percent
0%
Manufacturer
TOPS
Manufacturer Part Number
50135R
Packaged Quantity
250 / Pack
Product Type
Claim Form
Assembly Required
No
Country of Origin
United States
Global Product Type
Forms-Insurance
Packaging
250
Color
White
Pre-Consumer Recycled Content Percent
0%
Special Features
For Laser Printers
Total Recycled Content Percent
0%
Recycled
No
Product Line
Laser CMS Forms With Bar
Environmentally Friendly
Yes
Environmental Certification
SFI
Certifications & Standards
AMA Approved
Description

TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 1/Page, 250 Forms/Pack - 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.

Shipping from
This product is shipped from our 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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