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TOPS TOP50124RV Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms
Manufacturer: TOPS
UPC: 025932512407
SKU: TOP50124RV
Condition: New
TOPS TOP50124RV Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms
Global Product TypeForms-Insurance
Form Size8 1/2 x 11
Forms Per Page1
Form Quantity1500
Principal Heading1500 Health Insurance Claim Form
LayoutOne Form per Sheet
Copy TypesTwo-Part Carbonless
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%
Footnote 1Carbonless Duplicate
Special FeaturesCarbonless Duplicate-Continuous 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.