Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack
Reward Points: 2
SKU: 7300035081
Mfg part #: TOP50135RV
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. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Size: 11 x 8 1/2; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.
Products specifications
| Attribute name | Attribute value |
|---|
| UOM | |
| Pack | 250 EA/PK |
| Form Quantity | 250 |
| Form Size | 11 x 8 1/2 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance Claim |
| Layout | One Form per Sheet |
| Paper Color(s) | White |
| Paper Stock | 20-lb. |
| Post-Consumer Recycled Content Percent | 0% |
| Pre-Consumer Recycled Content Percent | 0% |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Print and Ruling Color(s) | OCR Red |
| Printer Compatibility | Laser |
| Special Features | For Laser Printers |
| Total Recycled Content Percent | 0% |
| UBN | COST, IMAGE |
| Category | Forms |
| Manufacturer | TOPS™ |
