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TOPS Centers

for Medicare & Medicaid Services Forms, 8-1/2"W x 11"H, 500 Forms

Item #: TOP50126RV
Description: 
General Information
Manufacturer: TOPS Products
Manufacturer Part Number: 50126RV
Manufacturer Website Address: http: //www.tops-products.com
Brand Name: TOPS
Product Name: CMS-1500 Laser Printer Forms

CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".


Packaged Quantity: 500 / Pack
Product Type: Health Insurance Form
Product Information
Basis Weight: 20 lb
Form Length: 8.50"
Form Width: 11"
Number of Parts: 1
Print Color: Red
Print Technology: Laser
Physical Characteristics
Color: White
Material: Paper
Height: 9.5"
Width: 11"
Miscellaneous
Certifications & Standards:
  • AMA
  • NUCC
  • Champus

Recycled: No
Assembly Required: No
Country of Origin: United States
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Specifications
Form Size:
8.5 x 11
Forms Per Page:
1
Form Quantity:
500
Principal Heading(s):
1500 Health Insurance Claim Form
Layout:
One Form per Sheet
Printer Compatibility:
Laser
Paper Stock:
20-lb.
Paper Color(s):
White
Print and Ruling Color(s):
OCR Red
Pre-Consumer Recycled Content Percent:
0%
Post-Consumer Recycled Content Percent:
0%
Total Recycled Content Percent:
0%
Special Features:
For Laser Printers
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