TOPS CMS Health Insurance Claim 1500, Lttr, 2-Part, 1500 Continuous Form Sts/Ctn

Item Number: TOP50124R

Package Size: 1 Carton 1500 Sets
Estimated Delivery in 1 to 2 business days
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Suggested Price: $166.89
You Pay: $144.99
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Product Description
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Type: Insurance Claim; Format: Continuous Form Set; Form Size: 8 1/2 x 11; Sheet Size: N\A.

Shipping Weight: 31 lbs.

Specifications
Global Product TypeForms-Insurance Claim
Form Size (W x H)8 1/2 in x 11 in
FormatContinuous Form Set
Principal Heading(s)1500 Health Insurance Claim Form
LayoutOne Form per Sheet
Copy TypesBlack Print Carbonless Duplicate
PunchingDot Matrix Holes
Printer CompatibilityDot Matrix
Paper Stock20-lb.
Paper Color(s)White
Print and Ruling Color(s)OCR Red
Pre-Consumer Recycled Content Percent0 %
Post-Consumer Recycled Content Percent0 %
Total Recycled Content Percent0 %
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