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Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack1

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
$68.56
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
Paper Stock 20 lb
Global Product Type Forms-Insurance
Special Features For Laser Printers
Paper Color(s) White
Form Size 8.5 x 11
Forms Per Page 1
Form Quantity 500
Layout One Form per Sheet
Printer Compatibility Laser
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
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Products specifications

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