Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack

Item #: TOP50135RV
by TOPS™
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Nationwide Stock: 423 PK
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Product Details

Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 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 250
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 2.660 lbs
Ships via UPS? y
Carton Pack Quantity 8 PK
Pack Quantity 250 EA
This item is sold by the PK which contains 250 EA

Catalog Information
Catalog Page No.'s EVERYTHING FOR THE WORKPLACE 2014: Page 967
EVERYTHING FOR THE WORKPLACE 2015: Page 983
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2015: Page 983
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2016: Page 979
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2017: Page 911
Manufacturer Info
Brand TOPS™  (website)
Brand Contact 800-282-7261
Manufacturer Stock No. 50135R
Retail UPC 025932513503
Country of Origin US
Tariff (Inbound) Code
UNSPSC Number 14111806
Meets ANSI/BIFMA? 025932513503
OTS Product ID 9472507

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Document printed / saved on 11/18/2017. Prices subject to change.