CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Brand
TOPS™
Item #
50135RV
Mfr. Model #
50135RV
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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
- 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.
Specifications
| Brand Name | TOPS™ |
|---|---|
| Brand Part Number | 50135RV |
| Color Family | White |
| Copy Types | One-Part (No Copies) |
| Dated/Undated | Undated |
| Form Quantity (Total) | 250 |
| Form Size | 8.5 x 11 |
| Form Type Details | CMS-1500 |
| Format Indicator | Unbound |
| Forms Per Page | 1 |
| Global Product Type | Insurance Forms |
| Paper Color(s) | White |
| Paper Stock | 20 lb Bond |
| Post-Consumer Recycled Content Percent | 0% |
| Pre-Consumer Recycled Content Percent | 0% |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Print and Ruling Color(s) | OCR Red |
| Printer Compatibility | Laser |
| Special Features | Laser Printer Compatible |
| Total Recycled Content Percent | 0% |
Price
$36.98
/
pack
