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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
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.
Specifications
| Color Family |
White |
| Copy Types |
One-Part (No Copies) |
| Dated/Undated |
Undated |
| Form Quantity (Total) |
500 |
| Form Size |
8.5 x 11 |
| Form Type Details |
CMS-1500 |
| Format Indicator |
Unbound |
| Forms Per Page |
1 |
| Global Product Type |
Insurance Forms |
| Paper Color(s) |
White |
| Paper Stock |
20 lb Bond |
| Post-Consumer Recycled Content Percent |
0% |
| Pre-Consumer Recycled Content Percent |
0% |
| Principal Heading(s) |
1500 Health Insurance Claim Form |
| Print and Ruling Color(s) |
OCR Red |
| Printer Compatibility |
Laser |
| Product Biodegradability in Days |
0 |
| Special Features |
Laser Printer Compatible |
| Total Recycled Content Percent |
0% |
