Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 250 Forms Total

TOPS™ SKU: TOP50135RV

Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 250 Forms Total

TOPS™ SKU: TOP50135RV
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$20.17 Regular price
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  • In stock
  • Inventory on the way
  • Brand: TOPS™
  • MPN: #50135RV made by TOPS™
  • Order Processing: 1-2 Business Days + Delivery Time
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.
Global Product Type Insurance Forms
Ship Class Code M
Special Features Laser Printer Compatible
Total Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Pre-Consumer Recycled Content Percent 0%
Print and Ruling Color(s) OCR Red
Paper Color(s) White
Paper Stock 20 lb Bond
Printer Compatibility Laser
Principal Heading(s) 1500 Health Insurance Claim Form
Forms Per Page 1
Form Size 8.5 x 11
Form Type Details CMS-1500
Dated/Undated Undated
Format Indicator Unbound
Form Quantity (Total) 250
Copy Types One-Part (No Copies)
Color Family White
Product 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.
Processing Time 1-2 Business Days
Mpn 50135RV
Brand TOPS™
Manufacturer TOPS™
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