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TOPS TOP50135RV Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack
Manufacturer: TOPS
UPC: 025932513503
SKU: TOP50135RV
Condition: New
TOPS TOP50135RV Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack
Global Product TypeForms-Insurance
Form Size8 1/2 x 11
Forms Per Page1
Form Quantity250
Principal Heading1500 Health Insurance Claim Form
LayoutOne Form per Sheet
Printer CompatibilityLaser
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 FeaturesFor Laser Printers
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.