TOPS 50135RV CMS-1500 One-Part (No Copies) 8.5 in. x 11 in. Medicare/Medicaid Forms for Laser Printers (250/Pack)

TOPS Model: 50135RV
$20.68
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TOPS 50135RV CMS-1500 One-Part (No Copies) 8.5 in. x 11 in. Medicare/Medicaid Forms for Laser Printers (250/Pack) TOPS Model: 50135RV
price for vip customer
$20.68

Product Features & Specs :

TOPS 50135RV CMS-1500 One-Part (No Copies) 8.5 in. x 11 in. Medicare/Medicaid Forms for Laser Printers (250/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:

  • (250/Pack) CMS-1500 One-Part (No Copies) 8.5 in. x 11 in. Medicare/Medicaid Forms for Laser Printers - 50135RV

Form Size

8.5 x 11

Form Quantity (Total)

250

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)

Dated

No

Paper Stock

20 lb Bond

Forms Per Page

1

Paper Color(s)

White

Form Type Details

CMS-1500

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