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Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 1/Page, 3,000 Forms/Carton
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Product Details
Product Highlights
- 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.
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. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 3000; Principal Heading(s): 1500 Health Insurance Claim Form.
Product Specifications
| Dimensions / Specifications | |
|---|---|
| Unit of Measure | CT |
| Item Dimensions | 12.10 in. x 10.40 in. x 12.90 in. (W x H x D) |
| Item Weight | 34.400 lbs |
| Carton Pack Quantity | 3000 SH |
| Carton Pack Dimensions | 12.10 in. x 10.40 in. x 12.90 in. (W x H x D) |
| Carton Pack Weight | 34.400 lbs |
| This item is sold by the CT which contains 3000 SH | |
| Shipping Info | |
|---|---|
| Can Ship via UPS? | Yes |
| Can Ship via Air Carrier? | Yes |
| Hazmat restrictions? | No |
| Additional Information | |
|---|---|
| Is Certified with EPA/CPG? | No |
| Considered Green (less environmental impact)? | No |
| Made of Some or All Recycled Materials? | No |
| Warranty Offered? | No |
| Underwriter's Laboratory Approval? | No |
| Item Specifications | |
|---|---|
| Brand | TOPS |
| Global Product Type | Forms-Insurance |
| Printer Compatibility | Dot Matrix |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Punching | Dot Matrix Pin Feed Holes |
| Form Size | 8.5 x 11 |
| Forms Per Page | 1 |
| Form Quantity | 3,000 |
| Layout | One Form per Sheet |
| 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 | Continuous Form |
| Manufacturer Info | |
|---|---|
| Brand | TOPS |
| Warranty Offered? | n |
| Manufacturer Stock No. | 50122RV |
| Office Depot Equivalent SKU | 561494 |
| Retail GTIN (UPC) | |
| Country of Origin | US |
| UNSPSC Number | 00141118 |
| Product ID | 9472556 |
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