Tops Centers for Medicare & Medicaid Services Forms
8-1/2 x 11, 500 Forms
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Item # TOP50126R
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- OCR red ink for scanning.
- Form Size (W x H): 8 1/2 in x 11 in; Number of Columns: N/A; Forms Per Page: 1; Number of Entry Lines: N/A.
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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. Form Size (W x H): 8 1/2 in x 11 in; Number of Columns: N/A; Forms Per Page: 1; Number of Entry Lines: N/A.
See more Centers for Medicare and Medicaid Services (CMS) Forms
Additional Information:
| Layout | One Form per Sheet |
|---|---|
| Print And Ruling Color(s) | OCR Red |
| Paper Color(s) | White |
| Paper Stock | 20-lb. |
| Post-consumer Recycled Content Percent | 0 % |
| Format | Loose Form |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Total Recycled Content Percent | 0 % |
| Product Type | Forms-Insurance Claim |
| Form Size (w X H) | 8 1/2 in x 11 in |
| Printer Compatibility | Laser |
| Pre-consumer Recycled Content Percent | 0 % |
