TOPS CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total
Part # TOP50126RV
UPC 025932512605
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Product Details
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.
Additional Information
- Part #: TOP50126RV
- MPN: 50126RV
- UPC: 025932512605
- UNSPC: 14111806
- 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 | 500 |
| 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 |
Additional Information
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