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