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.
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.
ESS-TOP50135RV
Data sheet
- Special Features
- Laser Printer Compatible
- Special Features
- For Laser Printers
- Paper Color(s)
- White
- Global Product Type
- Forms-Insurance
- Global Product Type
- Insurance Forms
- 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
- Principal Heading(s)
- 1500 Health Insurance Claim Form
- 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
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.