Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 1/Page, 250 Forms/Pack

$38.56
Tax excluded
Quantity
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.

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.
TOPS™
TOP50135RV
665 Items

Data sheet

Special Features
For Laser Printers
Paper Color(s)
White
Global Product Type
Forms-Insurance
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Form Size
8.5 x 11
Form Size
8 1/2 x 11
Forms Per Page
1
Form Quantity
250
Principal Heading(s)
1500 Health Insurance Claim Form
Layout
One Form per Sheet
Paper Stock
20-lb.
Paper Stock
20 lb
Print and Ruling Color(s)
OCR Red
Printer Compatibility
Laser
Unit Of Measure
PK

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