Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

Item #: TOP50126RV
by TOPS™
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Nationwide Stock: 3,486 PK
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Product Details

Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

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.

Product Specifications

Item Specifications
Brand TOPS™
Global Product Type Forms-Insurance
Form Size 8 1/2 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

Dimensions / Specifications
Unit of Measure PK
Item Weight 5.193 lbs
Ships via UPS? Yes
Carton Pack Quantity 5 PK
Pack Quantity 500 EA
This item is sold by the PK which contains 500 EA
Warranty Offered? No
Manufacturer Info
Brand TOPS™  (website)
Brand Contact 800-282-7261
Warranty Offered? n
Manufacturer Stock No. 50126RV
Staples Equivalent SKU 309934
Office Max Equivalent SKU 25324845
Office Depot Equivalent SKU 561809
Retail UPC 025932512605
Country of Origin US
UNSPSC Number 14111806
Meets ANSI/BIFMA? 025932512605
OTS Product ID 9472515

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Document printed / saved on 06/19/2018. Prices subject to change.