Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack
by TOPS™
SKU TOP50126RV
- 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.
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$44.74/PK
TOPS™
Made in USA
Product Description
Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack. 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.
- 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.
Technical Specifications
- 500
- 8.5 x 11
- 1
- Forms-Insurance
- One Form per Sheet
- White
- 20-lb.
- 1500 Health Insurance Claim Form
- OCR Red
- Laser
- For Laser Printers
- 0%
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