CMS 1500 Health Insurance Claim, Lttr, 2-Part, 100 Continuos Form Sets/Pack

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. Form Type: Insurance Claim; Format: Continuous Form Set; Form Size: 8 1/2 x 11; Sheet Size: N/A.

Product Attributes Copy Type Black Print Carbonless Duplicate Form Size 8 1/2 x 11 Form Type Insurance Claim Format Continuous Form Set Layout One Form per Sheet Paper Color(s) White Paper Stock 20-lb. Post-Consumer Recycled Content Percent [Nom] 0 % Pre-Consumer Recycled Content Percent [Nom] 0 % Principal Heading(s) 1500 Health Insurance Claim Form Print and Ruling Color(s) OCR Red Printer Compatibility Dot Matrix Punching Dot Matrix Holes Total Recycled Content Percent [Nom] 0 %

Item Weight	2.130 lbs
Unit of Measure	PK
Pack Quantity	100 EA
Ships via UPS	Y

Brand	TOPS
Manufacturer Stock No.	50129R
UPC Class Code	50025932501291
Country of Origin	US
Tariff Code
UNSPSC Number	14111806
Meets ANSI/BIFMA
Manufacturer Website	www.tops-products.com
Manufacturer Phone	800-621-1291

Legacy Description	FORM,CONT,CMS1500,100,WE
Keywords	Carbonless Duplicate;Claim Form;Claim Forms;CMS;CMS-1500;Continuous Form;HCFA Claim Form;Health Care Claim Forms;Human Resources;Insurance Forms;Personnel;Personnel Forms;TOPS
Catalog Page	918
Office Depot SKU:	TOP50129R

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