TOPS 50126RV CMS-1500 One-Part (No Copies) 8.5 in. x 11 in. Medicare/Medicaid Forms for Laser Printers (500/Pack)

TOPS Model: 50126RV
$52.65
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TOPS 50126RV CMS-1500 One-Part (No Copies) 8.5 in. x 11 in. Medicare/Medicaid Forms for Laser Printers (500/Pack) TOPS Model: 50126RV
price for vip customer
$52.65

Product Features & Specs :

TOPS 50126RV CMS-1500 One-Part (No Copies) 8.5 in. x 11 in. Medicare/Medicaid Forms for Laser Printers (500/Pack)

Details

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

What’s Included:

  • (500/Pack) CMS-1500 One-Part (No Copies) 8.5 in. x 11 in. Medicare/Medicaid Forms for Laser Printers - 50126RV

Dated/Undated

Undated

Product Biodegradability in Days

0

Form Size

8.5 x 11

Total Recycled Content Percent

0%

Form Quantity (Total)

500

Pre-Consumer Recycled Content Percent

0%

Post-Consumer Recycled Content Percent

0%

Print and Ruling Color(s)

OCR Red

Color Family

White

Principal Heading(s)

1500 Health Insurance Claim Form

Printer Compatibility

Laser

Format Indicator

Unbound

Copy Types

One-Part (No Copies)

Paper Stock

20 lb Bond

Forms Per Page

1

Paper Color(s)

White

Form Type Details

CMS-1500

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