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TOPS Tops CMS Health Insurance Claim Form with Sensor Bar
11" x 8.5" Form Size - 250 / Pack

Item Number: TOP50135R

Package Size: 1 Pack
CMS 1500 Claim Form is in the AMA approved format
List Price $23.44
You Pay: $15.49
Delivery estimate: 4/23/2014
Quantity
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Description Specifications Reviews
  • CMS 1500 Claim Form is in the AMA approved format
  • Printed front and back in red OCR ink on white, letter-size 20 lb
  • bond
  • Compatible with laser printers.

Shipping Weight: 2.66 lbs.

Certifications & StandardsAMA Approved
ColorWhite
Form Quantity250
Form Size11" Length x 8.50" Width
Form Size (W x H)8 1/2 in x 11 in
Form Special FeaturesFor Laser Printers
Forms Per Page1
Global Product TypeForms-Insurance Claim
LayoutOne Form per Sheet
Media Quantity(1500 Form Per Sheet)
Paper Color(s)White
Paper Stock20-lb.
Principal Heading(s)1500 Health Insurance Claim Form
PrintFront Side Form With Red Ink, Back Side Form With Red Ink
Print and Ruling Color(s)OCR Red
Print TechnologyLaser
Printer CompatibilityLaser
Product NameCMS Health Insurance Claim Form with Sensor Bar
Product TypeClaim Form
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