TOPS Centers for Medicare and Medicaid Services Forms, 3000 Forms
SKU: TOP50122R UPC: 025932501227
Other products by TOPS
| List Price: | $184.33 | |
| You save: | -$59.44 (-32%) | |
| Price: | $124.89 /CT | |
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| Delivery time 1-3 business days |
- 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.
Includes 3000 forms.
Specifications
| Form Quantity | 3000 |
| Form Size (W x H) | 8 1/2 in x 11 in |
| Form Special Features | Continuous Form |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance Claim |
| Layout | One Form per Sheet |
| Paper Color | White |
| Paper Stock | 20-lb. |
| Post-Consumer Recycled Content Percent | 0 % |
| Pre-Consumer Recycled Content Percent | 0 % |
| Principal Heading | 1500 Health Insurance Claim Form |
| Print and Ruling Color | OCR Red |
| Printer Compatibility | Dot Matrix |
| Punching | Dot Matrix Holes |
| Total Recycled Content Percent | 0 % |
