• CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Description

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) 250
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%

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Vendor: TOPS
Out of stockSKU: TOP50135RV-SPF
$36.90

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Warranty. 12 months manufacturer warranty. Free returns within 30 days.

Delivery timeline

Order by 1:00 PM EST on a business day for same-day processing. Avg. delivery: 3 business days.

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  • CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

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