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TOPS
CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total TOP50135RV
50135RV MLS# 99535401
$45.78
/PK
$57.23
/PK
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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total TOP50126RV
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UB04 Hospital Insurance Claim Form for Laser Printers, One-Part (No Copies), 8.5 x 11, 2,500 Forms Total TOP59870R
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Medical Security Papers, 24 lb Bond Weight, 8.5 x 11, Blue, 500/Ream PRB04545
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Medical Security Papers, 24 lb Bond Weight, 8.5 x 11, Blue, 500/Ream PRB04541
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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.
Features
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.
Product Details
Global Product Type
Insurance Forms
Form Type Details
CMS-1500
Dated/Undated
Undated
Forms Per Page
1
Form Size
8.5 x 11
Format Indicator
Unbound
Form Quantity (Total)
250
Copy Types
One-Part (No Copies)
Principal Heading(s)
1500 Health Insurance Claim Form
Paper Color(s)
White
Color Family
White
Printer Compatibility
Laser
Paper Stock
20 lb Bond
Print and Ruling Color(s)
OCR Red
Product Biodegradability in Days
0
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Special Features
Laser Printer Compatible
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
CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total TOP50135RV
TOPS
CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total TOP50135RV
50135RV MLS# 99535401
$45.78
/PK
$57.23
/PK
1
2
3
4
5
6
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8
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Selected options is not available, please try different options
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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Medical Security Papers, 24 lb Bond Weight, 8.5 x 11, Blue, 500/Ream PRB04543
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Daily Attendance Card, One-Part (No Copies), 11 x 8.5, 50 Forms Total TOP3284
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Follow-up Wirebound Voice Mail Log Book, One-Part (No Copies), 7.5 x 2, 5 Forms/Sheet, 500 Forms Total RED51114
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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
Insurance Forms
Form Type Details
CMS-1500
Dated/Undated
Undated
Forms Per Page
1
Form Size
8.5 x 11
Format Indicator
Unbound
Form Quantity (Total)
250
Copy Types
One-Part (No Copies)
Principal Heading(s)
1500 Health Insurance Claim Form
Paper Color(s)
White
Color Family
White
Printer Compatibility
Laser
Paper Stock
20 lb Bond
Print and Ruling Color(s)
OCR Red
Product Biodegradability in Days
0
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Special Features
Laser Printer Compatible
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
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