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Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack

  • SKU T004-51260
  • MPN 50126RV

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. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.

Specifications

Form Type Details
CMS-1500
Global Product Type
Insurance Forms
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
Brand
TOPS
Manufacturer
TOPS