TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - (TOP50135RV)

Part # TOP50135RV

UPC 025932513503

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Product Details

TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / 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.

Brand	TOPS
Form Size	8.5 x 11
Forms Per Page	1
Form Quantity	250
Principal Heading(s)	1500 Health Insurance Claim Form
Layout	One Form per Sheet
Printer Compatibility	Laser
Paper Stock	20 lb
Paper Color(s)	White
Print and Ruling Color(s)	OCR Red
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Special Features	For Laser Printers
Country of Origin	US
Prop65	No
Unit of Measure	PK
Last Updated	2/4/2022

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