Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack

Name: Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack
Brand: TOPS
SKU: 99535401
Price: 43.66 USD
Availability: InStock

50135RV MLS# 99535401

$43.66 /PK ~~$54.57 /PK~~

Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 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.

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.

Global Product Type		Forms-Insurance
Form Size		8.5 x 11
Forms Per Page		1
Form Quantity		250
Principal Heading(s)		1500 Health Insurance Claim Form
Layout		One Form per Sheet
Printer Compatibility		Laser
Paper Stock		20-lb.
Paper Color(s)		White
Print and Ruling Color(s)		OCR Red
Pre-Consumer Recycled Content Percent		0%
Post-Consumer Recycled Content Percent		0%
Total Recycled Content Percent		0%
Special Features		For Laser Printers
Country Of Origin		US
Carton Weight		22
Carton Pack Quantity		8 PK
UPC		025932513503
UNSPSC		14111806

Weight	2.66 lbs
Height	1.1 in
Width	8.5 in
Length	0 in

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Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack

TOPS

Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack

50135RV MLS# 99535401

$43.66 /PK ~~$54.57 /PK~~

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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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.

Product Details

Global Product Type		Forms-Insurance
Form Size		8.5 x 11
Forms Per Page		1
Form Quantity		250
Principal Heading(s)		1500 Health Insurance Claim Form
Layout		One Form per Sheet
Printer Compatibility		Laser
Paper Stock		20-lb.
Paper Color(s)		White
Print and Ruling Color(s)		OCR Red
Pre-Consumer Recycled Content Percent		0%
Post-Consumer Recycled Content Percent		0%
Total Recycled Content Percent		0%
Special Features		For Laser Printers
Country Of Origin		US
Carton Weight		22
Carton Pack Quantity		8 PK
UPC		025932513503
UNSPSC		14111806

Shipping Weight & Item Dimensions

Weight	2.66 lbs
Height	1.1 in
Width	8.5 in
Length	0 in

Report incorrect product information