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TOPS CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total
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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.
Product Specifications
| 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 | 5.193 lbs |
| Carton Pack Quantity | 5 PK |
| Carton Pack Dimensions | 9.00 in. x 11.38 in. x 11.38 in. (W x H x D) |
| Carton Pack Weight | 27.500 lbs |
| Pack Quantity | 500 50 |
| This item is sold by the PK which contains 500 50 | |
| 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 |
| Form Type Details | CMS-1500 |
| Global Product Type | Insurance Forms |
| Dated/Undated | Undated |
| Forms Per Page | 1 |
| Form Size | 8.5 x 11 |
| Format Indicator | Unbound |
| Form Quantity (Total) | 500 |
| Copy Types | One-Part (No Copies) |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Paper Color(s) | White |
| Color Family | 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 |
| Manufacturer Info | |
|---|---|
| Brand | TOPS (website) |
| Brand Contact | 800-282-7261 |
| Warranty Offered? | n |
| Manufacturer Stock No. | 50126RV |
| Staples Equivalent SKU | 309934 |
| Quill Equivalent SKU | 50126RV |
| Office Max Equivalent SKU | 25324845 |
| Office Depot Equivalent SKU | 561809 |
| Retail GTIN (UPC) | 00025932512605 |
| Country of Origin | US |
| UNSPSC Number | 14111806 |
| Product ID | 9472515 |
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