Office Supplies > Forms, Recordkeeping & Reference Materials TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack TOP50126RV Manufacturer: TOPS Product ID: TOP50126RV UPC: 025932512605 Our Price : $Price 59.34 Quantity Description & Specs Reviews Warranty Description Condition: New 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. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack 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. Specifications Global Product Type: Forms-Insurance Form Size: 8.5 x 11 Forms Per Page: 1 Form Quantity: 500 Principal Heading: 1500 Health Insurance Claim Form Layout: One Form per Sheet Printer Compatibility: Laser Paper Stock: 20-lb. Paper Color: White Print and Ruling Color: OCR Red Pre-Consumer Recycled Content Percent: 0% Post-Consumer Recycled Content Percent: 0% Total Recycled Content Percent: 0% Special Features: For Laser Printers Related Items Rediform Bill of Lading Short Form, 8 1/2 x 7, Three-Part Carbonless, 250 Forms RED44301 RED44301 Your Price: 81.71 Qty: Details Adams TOPS Sales/Order Book, 7 15/16 x 5 9/16, 3-Part Carbonless, 50 Sets/Book ABFTC5805 ABFTC5805 Your Price: 10.12 Qty: Details 4"x4" Designer Nameplate Set G53 G53 Your Price: 19.28 Qty: Details Durable CLICK SIGN Holder 4976-37 4976-37 Your Price: 23.69 Qty: Details Advantus No Smoking Wall Sign 83639 83639 Your Price: 1.93 Qty: Details Boorum & Pease Record/Account Book, Black/Red Cover, 300 Pages, 14 1/8 x 8 5/8 BOR9300R BOR9300R Your Price: 212.10 Qty: Details
