• tops-centers-for-medicare-and-medicaid-services-claim-forms-num-top50126r_1
  • tops-centers-for-medicare-and-medicaid-services-claim-forms-num-top50126r_2
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TOPS™

TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total (TOP50126RV)

TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total (TOP50126RV)

$51.08
$51.08
/ Pack of 500
Sale Sold out

In stock
Estimated Delivery: Mon 6/15 - Wed 6/17 Delivery in 1-3 business days.

Product Specification

  • Printer Compatibility: Laser
  • Layout: One Form per Sheet
  • Format: Loose Form
  • Principal Heading(s): 1500 Health Insurance Claim Form
  • Paper Stock: 20 lb
  • Color: White
  • Product Type: Insurance Claim
  • Dimensions: 8 1/2" x 11"
  • Print and Ruling Color(s): OCR Red
  • Case Pack: Pack of 500
  • Paper Color(s): White
  • Post-Consumer Recycled Content Percent: 0%
  • Pre-Consumer Recycled Content Percent: 0%
  • Total Recycled Content Percent: 0%
  • Global Product Type: Forms-Insurance
  • Form Quantity: 500
  • Special Features: For Laser Printers
  • Forms Per Page: 1
  • Form Size: 8.5 x 11
TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms
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
Form Type Details: CMS-1500
Dated/Undated: Undated
Forms Per Page: 1
Form Size: 8.5 x 11
Format Indicator: Unbound
Form Quantity (Total): 500
Copy Types: One-Part (No Copies)
Principal Heading(s): 1500 Health Insurance Claim Form
Paper Color(s): White
Color Family: 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
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