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Tops CMS Health Insurance Claim Form with Sensor Bar
Item #: TOP50135R
CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms
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. Form Type: Insurance Claim; Global Product Type: Forms; Format: Loose Form; Form Size (W x H): 8 1/2 in x 11 in.
TOP 50135R, TOP-50135R, TOP,50135R
General Information | | Manufacturer | Tops | | Manufacturer Part Number | 50135R | | Manufacturer Website Address | www.tops-products.com | | Product Name | CMS Health Insurance Claim Form with Sensor Bar | | Marketing Information | CMS 1500 Claim Form is in the AMA approved format. Printed front and back in red OCR ink on white, letter-size 20 lb. bond. Compatible with laser printers. | | Packaged Quantity | 250 / Pack | | Product Type | Claim Form | Product Information | | Media Quantity | (1500 Form Per Sheet) | | Form Size | 11" x 8.5" | | Print | - Front Side Form With Red Ink
- Back Side Form With Red Ink
| | Print Technology | Laser | | Color | White | Miscellaneous | | Certifications & Standards | AMA Approved | | Recycled | No | | Recycled Content | 0% | | Post-consumer-waste% | 0% | | Assembly Required | No | | Country of Origin | US |
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