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Made in the USA

TOPS Centers

for Medicare & Medicaid Services Forms, 8-1/2"W x 11"H, 250 Forms

Item #: TOP50135RV
Description: 
General Information
Manufacturer: TOPS Products
Manufacturer Part Number: 50135RV
Manufacturer Website Address: http: //www.tops-products.com
Brand Name: TOPS
Product Name: Laser 1-part CMS-1500 Health Insur. Clm Forms

Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.


Packaged Quantity: 250 / Pack
Product Type: Health Insurance Form
Product Information
Basis Weight: 20 lb
Sheet Size: 11" Width x 8 1/2" Length
Sheet Color: White
Print Color: Red
Print Technology: Laser
Miscellaneous
Certifications & Standards:
  • CMS
  • NUCC
  • OMB

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:
250
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
Customer Reviews (0)
Overall Rating:
0.00
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