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TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total - Pack of 500 - TOP-50126RV-PK

TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total - Pack of 500 - TOP-50126RV-PK

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TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total - Pack of 500 - TOP-50126RV-PK

Item Id 860876
MF Id# TOP-50126RV
Manufacturer TOPS™
Country of Origin United States
Color Family White
Copy Types One-Part (No Copies)
Dated/Undated Undated
Form Quantity (Total) 500
Form Size 8.5 x 11
Form Type Details CMS-1500
Format Indicator Unbound
Forms Per Page 1
Global Product Type Insurance Forms
Is_Active_Vendor Y
Is_DSCSA N
Is_Discontinued N
Is_Medical_Device N
Lot_Tracking_Flag N
On_Allocation N
Paper Color(s) White
Paper Stock 20 lb Bond
Post-Consumer Recycled Content Percent 0%
Pre-Consumer Recycled Content Percent 0%
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
Printer Compatibility Laser
Special Features Laser Printer Compatible
Supplier_ID 3784663
Total Recycled Content Percent 0%
UNSPSC 14111806

Features

  • 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.

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