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

SKU: TOP50135RV

Manufacturer part number: 50135RV

UPC: 0025932513503

MSRP: $41.39

Price: $25.31

Qty:

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.

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Products specifications

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

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Products specifications

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