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
$40.60
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

Principal Heading(s)
1500 Health Insurance Claim Form
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 1/2 x 11
Form Size
8.5 x 11
Forms Per Page
1
Form Quantity
250
Layout
One Form per Sheet
Paper Stock
20 lb
Paper Stock
20-lb.
Paper Stock
20 lb Bond
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