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: 84.09 USD
Availability: InStock

50126RV MLS# 99535400

$84.09 /PK ~~$105.11 /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

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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

$84.09 /PK ~~$105.11 /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		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