TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - (TOP50135RV)
Part # TOP50135RV
UPC 025932513503
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Product Details
TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack
- 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.
| Brand | TOPS |
|---|---|
| Form Size | 8.5 x 11 |
| Forms Per Page | 1 |
| Form Quantity | 250 |
| 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 |
| Prop65 | No |
| Unit of Measure | PK |
| Last Updated | 11/8/2020 |
Additional Information
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