TOPS CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms

Item Number: TOP50135R

Package Size: 1 Pack
Estimated Delivery in 1 to 2 business days
Suggested Price: $20.42
You Pay: $15.49
Qty.
Product Description
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Type: Insurance Claim; Format: Loose Form; Form Size: 8 1/2 x 11; Sheet Size: N\A.

Shipping Weight: 2.59 lbs.

Specifications
Global Product TypeForms-Insurance Claim
Form Size (W x H)8 1/2 in x 11 in
FormatLoose Form
Principal Heading(s)1500 Health Insurance Claim Form
LayoutOne Form per Sheet
Printer CompatibilityLaser
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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