Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack

Manufacturer: TOPS BUSINESS FORMS
SKU: TOP50126RV
Manufacturer part number: 50126RV
UPC: 0025932512605
MSRP: $73.62
$42.16
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.
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.

Products specifications

Attribute name Attribute value
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
Paper Stock 20 lb
Forms Per Page 1
Form Quantity 500
Printer Compatibility Laser
Global Product Type Forms-Insurance
Special Features For Laser Printers
Paper Color(s) White
Form Size 8.5 x 11
Layout One Form per Sheet
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
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Products specifications

Attribute name Attribute value
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
Paper Stock 20 lb
Forms Per Page 1
Form Quantity 500
Printer Compatibility Laser
Global Product Type Forms-Insurance
Special Features For Laser Printers
Paper Color(s) White
Form Size 8.5 x 11
Layout One Form per Sheet
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
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