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 |
|
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 |
