IMG

TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

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.
In Stock
Item: 50126RV | By: TOPS™
$43.73PK
$71.47
Availability Only 716 Left In Stock
Delivery To Not Logged in.
Region USA - Change
Great Deals Everyday
Condition
New
  • 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 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.
    33test33
    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.

    Specifications

    Color Family
    White
    Color Family
    White
    Copy Types
    One-Part (No Copies)
    Copy Types
    One-Part (No Copies)
    Dated/Undated
    Undated
    Dated/Undated
    Undated
    Form Quantity (Total)
    500
    Form Quantity (Total)
    500
    Form Size
    8.5 x 11
    Form Size
    8.5 x 11
    Form Type Details
    CMS-1500
    Form Type Details
    CMS-1500
    Format Indicator
    Unbound
    Format Indicator
    Unbound
    Forms Per Page
    1
    Forms Per Page
    1
    Global Product Type
    Insurance Forms
    Paper Color(s)
    White
    Paper Color(s)
    White
    Paper Stock
    20 lb Bond
    Paper Stock
    20 lb Bond
    Post-Consumer Recycled Content Percent
    0%
    Post-Consumer Recycled Content Percent
    0%
    Pre-Consumer Recycled Content Percent
    0%
    Pre-Consumer Recycled Content Percent
    0%
    Principal Heading(s)
    1500 Health Insurance Claim Form
    Principal Heading(s)
    1500 Health Insurance Claim Form
    Print and Ruling Color(s)
    OCR Red
    Print and Ruling Color(s)
    OCR Red
    Printer Compatibility
    Laser
    Printer Compatibility
    Laser
    Product Biodegradability in Days
    0
    Product Biodegradability in Days
    0
    Product_Description
    FORMCMS1500INS500/PK
    Product_Description
    FORMCMS1500INS500/PK
    Special Features
    Laser Printer Compatible
    Special Features
    Laser Printer Compatible
    Total Recycled Content Percent
    0%
    Total Recycled Content Percent
    0%
    Global Product Type
    Insurance Forms

    Product ratings & Reviews

    0.0
    Based on 0 reviews
    5
    4
    3
    2
    1