Product Media

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Product Number: ESS-TOP50135RV
$39.40
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.
Quantity

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.
TOPS™
ESS-TOP50135RV

Data sheet

Special Features
For Laser Printers
Special Features
Laser Printer Compatible
Paper Color(s)
White
Global Product Type
Insurance Forms
Global Product Type
Forms-Insurance
Dated/Undated
Undated
Color Family
White
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Unit Of Measure
PK
Form Size
8.5 x 11
Form Size
8 1/2 x 11
Forms Per Page
1
Form Quantity
250
Principal Heading(s)
1500 Health Insurance Claim Form
Layout
One Form per Sheet
Paper Stock
20-lb.
Paper Stock
20 lb Bond
Paper Stock
20 lb
Print and Ruling Color(s)
OCR Red
Copy Types
One-Part (No Copies)
Printer Compatibility
Laser
Form Type Details
CMS-1500
Format Indicator
Unbound
Form Quantity (Total)
250