Description
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.
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.
| Weight | 2.66 lbs |
|---|---|
| Dimensions | 11.00 × 8.50 × 1.10 in |
| Brand | TOPS™ |
| Color Family | White |
| Copy Types | (No, Copies), One-Part |
| Dated | No |
| Form Quantity (Total) | 250 |
| Form Size | 11, 8.5, x |
| Form Type Details | CMS-1500 |
| Format Indicator | Unbound |
| Forms Per Page | 1 |
| Global Product Type | Forms, Insurance |
| MPN | 50135RV |
| Paper Color(s) | White |
| Paper Stock | 20, Bond, lb |
| Principal Heading(s) | 1500, Claim, Form, Health, Insurance |
| Print and Ruling Color(s) | OCR, Red |
| Printer Compatibility | Laser |
| Ship Class Code | M |
| Special Features | compatible, Laser, Printer |
| UPC | 025932513503 |
Reviews
There are no reviews yet.