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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total
CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

Out of Stock
SKU #
TOP50126RV
Mfr #
50126RV
Manufacturer
TOPS PRODUCTS
Description
Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.
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Product Information

UPC:
025932512605
Country of Origin:
US
Dimensions:
11*8.5*2.2
Unit of Measure:
PK
Shipping Dimensions:
11*8.5*2.2
Quantity per UOM:
500
Weight:
5.19

Specifications

Global Product Type
Insurance Forms
Form Type Details
CMS-1500
Dated/Undated
Undated
Forms Per Page
1
Format Indicator
Unbound
Copy Types
One-Part (No Copies)
Color Family
White
Form Size
8.5 x 11
Form Quantity (Total)
500
Principal Heading(s)
1500 Health Insurance Claim Form
Paper Color(s)
White
Printer Compatibility
Laser
Paper Stock
20 lb Bond
Print and Ruling Color(s)
OCR Red
Product Biodegradability in Days
0
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Special Features
Laser Printer Compatible
Country Of Origin
US
Carton Weight
28 lbs.
Carton Pack Quantity
5 PK
Pack Quantity
500 EA
UPC
025932512605
UNSPSC
14111806

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