Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack

Name: Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack
Brand: TOPS
SKU: 99535400
Price: 85.36 USD
Availability: InStock

50126RV MLS# 99535400

$85.36 /PK ~~$106.70 /PK~~

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

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		500
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		28
Carton Pack Quantity		5 PK
UPC		025932512605
UNSPSC		14111806

Weight	5.193 lbs
Height	2.2 in
Width	8.5 in
Length	0 in

Report incorrect product information

Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack

TOPS

Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack

50126RV MLS# 99535400

$85.36 /PK ~~$106.70 /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.

Related Items

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

$55.38 ~~$55.38~~

UB04 Hospital Insurance Claim Form, 8 1/2 x 11, Laser Printer, 2500 Forms

$541.75 ~~$541.75~~

Security Tinted Insurance Claim Form Envelope, Commercial Flap, Gummed Closure, 4.5 x 9.5, White, 500/Box

$199.79 ~~$199.79~~

Security Tinted Insurance Claim Form Envelope, Commercial Flap, Redi-Seal Closure, 4.5 x 9.5, White, 500/Box

$281.13 ~~$281.13~~

Medical Security Papers, 24lb, 8.5 x 11, Blue, 500/Ream

$100.40 ~~$100.40~~

Medical Security Papers, 24lb, 8.5 x 11, Blue, 500/Ream

$128.64 ~~$128.64~~

Medical Security Papers, 24lb, 8.5 x 11, Blue, 500/Ream

$78.03 ~~$78.03~~

Medical Security Papers, 24lb, 8.5 x 11, Green, 500/Ream

$90.50 ~~$90.50~~

Redi-Seal Insurance Claim Form Envelope, Cheese Blade Flap, Redi-Seal Closure, 9 x 12.5, White, 100/Box

$193.26 ~~$193.26~~

Aluminum Document Box, 2/5" Capacity, Holds 8 1/2w x 11h

$74.70 ~~$74.70~~

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		500
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		28
Carton Pack Quantity		5 PK
UPC		025932512605
UNSPSC		14111806

Shipping Weight & Item Dimensions

Weight	5.193 lbs
Height	2.2 in
Width	8.5 in
Length	0 in

Report incorrect product information