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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total
- Product Type :
- Item # : TOP50135RV
-
Stock Check
Quick Overview
- 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.
Add Line NoteDescription
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.
General Information
Global Product Type
Insurance Forms
Form Type Details
CMS-1500
Dated/Undated
Undated
Forms Per Page
1
Format Indicator
Unbound
Copy Types
One-Part (No Copies)
Color Family
White
Form Size
8.5 x 11
Form Quantity (Total)
250
Principal Heading(s)
1500 Health Insurance Claim Form
Paper Color(s)
White
Printer Compatibility
Laser
Paper Stock
20 lb Bond
Print and Ruling Color(s)
OCR Red
Product Biodegradability in Days
0
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Special Features
Laser Printer Compatible
Country of Origin
US
Carton Weight
22.0
Carton Pack Quantity
8/PK
Pack Quantity
250
UPC
025932513503
UNSPSC
14111806
Shipping Weight & Item Dimensions
Weight
2.66 lbs
Length
11.0 in
Height
1.1 in
Width
8.5 in
