OS
TOPS TOP50122RV Centers for Medicare and Medicaid Services Forms, 3000 Forms/Carton
Manufacturer: TOPS
UPC: 025932512209
SKU: TOP50122RV
Condition: New
TOPS TOP50122RV Centers for Medicare and Medicaid Services Forms, 3000 Forms/Carton
Global Product TypeForms-Insurance
Form Size8 1/2 x 11
Forms Per Page1
Form Quantity3000
Principal Heading1500 Health Insurance Claim Form
LayoutOne Form per Sheet
PunchingDot Matrix Pin Feed Holes
Printer CompatibilityDot Matrix
Paper Stock20-lb.
Paper ColorWhite
Print and Ruling ColorOCR Red
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Special FeaturesContinuous Form
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
Top sensor bar for microfiche duplication, as required in some states.
OCR red ink for scanning.