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Tops Cms-1500 Laser Printer Claim Forms - 1 Part - 8.50" X 11" Form... 

10 in stock (as of 03/23/2018 10:27 PM)

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Tops Cms-1500 Laser Printer Claim Forms - 1 Part - 8.50" X 11" Form Size - 500 / Pack (50126V)
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Added to our catalog within last 30 days
Model: 50126V
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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. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.
  • 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.

  • Includes 500 forms.

  • Global Product Type:Forms-Insurance Claim
  • Form Size:8 1/2 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
  • Features

    Certifications & Standards: 
    • AMA
    • NUCC
    • Champus

    Recycled: No

    Recycled Content: 0%

    Post-consumer-waste%: 0%

    Assembly Required: No

    Country of Origin: United States


    General Information
    ManufacturerTOPS Products
    Manufacturer Part Number50126RV
    Manufacturer Website Addresshttp://www.tops-products.com
    Brand NameTOPS
    Product NameCMS-1500 Laser Printer Forms
    Marketing Information

    CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".

    Packaged Quantity500 / Pack
    Product TypeHealth Insurance Form
    Product Information
    Basis Weight20 lb
    Form Length8.50"
    Form Width11"
    Number of Parts1
    Print ColorRed
    Print TechnologyLaser
    Physical Characteristics
    ProductTitleTOPS CMS-1500 Laser Printer Forms - 20 lb - 1 Part - 8.50" x 11" Form Size - Red Print Color - Paper - 500 / Pack

    Warranty Information

    Beach Audio Warranty

    This product was added to our catalog on Saturday, March 24, 2018.


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