Tops CMS Health Insurance Form 1500 Claim 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. Form Type: Insurance Claim; Format: Loose Form; Form Size (W x H): 8 1/2 in x 11 in; Sheet Size (W x H): NA.

Product Specifications  Manufacturer #: TOP-50135R Product Details CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms Form Size: 8 1/2 x 11 Form Type: Insurance Claim Format: Loose Form Layout: One Form per Sheet Paper Stock: 20-Lb. Paper/Shading Color(s): Whie Principal Heading(s): 1500 Health Insurance Claim Form Print and Ruling Color(s): OCR Red Printer Compatibility: Laser UPC: 00025932501357 Keywords: Claim Form, Claim Forms, CMS, CMS-1500, Continuous Form, HCFA Claim Form, Health Care Claim Forms, Human Resources, Insurance Forms, Personnel, Personnel Forms, TOPS