Picture of Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

Sorry - this product is no longer available

$63.29
Reward Points: 6
Mfg: TOPS™
SKU: 7300035080
Mfg part #: TOP50126RV
Availability: Out of stock
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. Form Size: 11 x 8 1/2; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.
Products specifications
Attribute nameAttribute value
UOM
 
Pack500 EA/PK
Form Quantity500
Form Size11 x 8 1/2
Forms Per Page1
Global Product TypeForms-Insurance Claim
LayoutOne Form per Sheet
Paper Color(s)White
Paper Stock20-lb.
Post-Consumer Recycled Content Percent0%
Pre-Consumer Recycled Content Percent0%
Principal Heading(s)1500 Health Insurance Claim Form
Print and Ruling Color(s)OCR Red
Printer CompatibilityLaser
Special FeaturesFor Laser Printers
Total Recycled Content Percent0%
UBNCOST, PRODUCTIVITY, Sustainability
CategoryForms
ManufacturerTOPS™
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