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TOPS™ CMS-1500 Medicare/Medicaid Forms For Laser Printers, One-Part (No Copies), 8.5 X 11, 250 Forms Total

$21.36
Brand
: TOPS™
SKU
: ESTOP50135RV
UPC
: 025932513503
Condition
: New
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TOPS™ CMS-1500 Medicare/Medicaid Forms For Laser Printers, One-Part (No Copies), 8.5 X 11, 250 Forms Total

TOPS™ CMS-1500 Medicare/Medicaid Forms 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.

  • Top sensor bar for microfiche duplication, as required in some states.

Product 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) : 250
  • 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
  • Special Features : Laser Printer Compatible