TOPS CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Part # TOP50135RV
UPC 025932513503
Part # TOP50135RV
UPC 025932513503
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.
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 |