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TOPS Laser CMS Claim Forms, 8 1/2" x 11", Pack Of 500

Double Sided Sheet - 1 PartCarbonless Copy - 8.50" x 11" Sheet Size - White Sheet(s) - Red Print Color - 500 / Pack
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Product Number: TOP50126RV
  • 20-lb paper is printed front and back with red OCR ink for improved scanning and reproduction.
  • Approved by the American Medical Association for official use.
  • SFI Certified.
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TOPS Laser CMS Claim Forms, 8 1/2" x 11", Pack Of 500 - Arrange benefits payments from Medicare, Medicaid and insurance companies

  • 20-lb paper is printed front and back with red OCR ink for improved scanning and reproduction.
  • Approved by the American Medical Association for official use.
  • SFI Certified.
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  • Assembly Required
    No
  • Binding Type
    Gummed
  • Brand Name
    Tops
  • Certifications & Standards
    AMA NUCC Champus
  • Copy Types
    One-Part (No Copies)
  • Country of Origin
    US
  • Dated/Undated
    Undated
  • Environmental Certification
    Sustainable Forestry Initiative (SFI)
  • Environmentally Friendly
    Yes
  • Features
    Double Sided
  • Form Length
    8.50"
  • Form Size
    8.5 x 11 8.5 x 11
  • Form Width
    11"
  • Forms Per Page
    1
  • Global Product Type
    Insurance Forms
  • Height
    9.5"
  • Manufacturer
    TOPS BUSINESS FORMS
  • Manufacturer Part Number
    50126RV
  • Manufacturer Website Address
    www.tops-products.com
  • Marketing Information
    CMS-1500 form 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. Printed front and back in red OCR ink on white 20 lb bond without sensor bar. Compatible with laser printers.
  • Number of Holes Punched
    0
  • Number of Parts
    1
  • Packaged Quantity
    500 / Pack
  • Packaging
    500
  • Paper Color(s)
    White
  • Paper Stock
    20 lb Bond
  • Post-Consumer Recycled Content Percent
    0%
  • Post-consumer-waste%
    0%
  • Pre-Consumer Recycled Content Percent
    0%
  • Principal Heading(s)
    1500 Health Insurance Claim Form
  • Print Color
    Red
  • Print Technology
    Laser
  • Print and Ruling Color(s)
    OCR Red
  • Printer Compatibility
    Laser Inkjet Printer
  • Product Color
    White
  • Product Line
    HCFA Forms
  • Product Material
    Paper
  • Product Name
    CMS-1500 Laser Printer Forms
  • Product Type
    Medical Claim Form
  • Quantity
    500
  • Recycled
    No
  • Refurbished
    N
  • Sheet Size
    Letter (8-1/2" x 11")
  • Special Features
    Laser Printer Compatible
  • Total Recycled Content Percent
    0%
  • Width
    11"

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