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CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".
| Dimensions / Specifications | |
|---|---|
| Unit of Measure | PK |
| Item Dimensions | 8.50 in. x 2.20 in. x 11.00 in. (W x H x D) |
| Item Weight | 5.400 lbs |
| Carton Pack Quantity | 2500 EA |
| Carton Pack Dimensions | 9.00 in. x 11.38 in. x 0.00 in. (W x H x D) |
| Carton Pack Weight | 27.500 lbs |
| Pack Quantity | 500 EA |
| This item is sold by the PK which contains 500 EA | |
| Shipping Info | |
|---|---|
| Can Ship via UPS? | Yes |
| Can Ship via Air Carrier? | Yes |
| Hazmat restrictions? | No |
| Additional Information | |
|---|---|
| Considered Green (less environmental impact)? | No |
| Made of Some or All Recycled Materials? | No |
| Item Specifications | |
|---|---|
| Manufacturer | TOPS Products |
| Manufacturer Part Number | 50126RV |
| Product Name | CMS-1500 Laser Printer Forms |
| Packaged Quantity | 500 / Pack |
| Product Type | Health Insurance Form |
| Basis Weight | 20 lb |
| Form Length | 8.50" |
| Form Width | 11" |
| Number of Parts | 1 |
| Print Color | Red |
| Print Technology | Laser |
| Color Family | White |
| Product Color | White |
| Product Material | Paper |
| Height | 9.5" |
| Width | 11" |
| Certifications & Standards | AMA, NUCC, Champus |
| Recycled | No |
| Assembly Required | No |
| Country of Origin | United States |
| Manufacturer Info | |
|---|---|
| Brand | TOPS (website) |
| Brand Contact | 800-282-7261 |
| Manufacturer SKU | 50126RV |
| Retail GTIN (UPC) | 00025932512605 |
| Country of Origin | US |
| UNSPSC Number | 14111806 |
| Product ID | 9472515 |