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Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

Manufacturer: TOPS®

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.


Compare	Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms TOP50124R	CT	$149.99 each QTY:	Add to My Lists

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Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

TOP50124R

$149.99 each

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CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1.

Paper Color(s)	White
Global Product Type	Forms-Insurance Claim
Layout	One Form per Sheet
Print and Ruling Color(s)	OCR Red
Punching	Dot Matrix Holes
Copy Types	Carbonless Duplicate
Principal Heading(s)	1500 Health Insurance Claim Form
Paper Stock	20-lb.
Printer Compatibility	Dot Matrix
Special Features	Carbonless Duplicate
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Form Quantity	1500
Form Size	8 1/2 x 11
Forms Per Page	1
Footnote 1	Carbonless Duplicate