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Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 1/Page, 250 Forms/Pack1

Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 1/Page, 250 Forms/Pack

Manufacturer: TOPS BUSINESS FORMS
SKU: TOP50135RV
Manufacturer part number: 50135RV
UPC: 0025932513503
MSRP: $40.60
$25.75
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: 250; Principal Heading(s): 1500 Health Insurance Claim Form.
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: 250; Principal Heading(s): 1500 Health Insurance Claim Form.

Products specifications

Attribute name Attribute value
Form Quantity 250
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
Paper Stock 20 lb
Forms Per Page 1
Printer Compatibility Laser
Global Product Type Forms-Insurance
Special Features For Laser Printers
Paper Color(s) White
Form Size 8.5 x 11
Layout One Form per Sheet
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
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Products specifications

Attribute name Attribute value
Form Quantity 250
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
Paper Stock 20 lb
Forms Per Page 1
Printer Compatibility Laser
Global Product Type Forms-Insurance
Special Features For Laser Printers
Paper Color(s) White
Form Size 8.5 x 11
Layout One Form per Sheet
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
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