Pinch to zoom
Top Seller
TOPS Laser CMS Claim Forms, 8 1/2" x 11", Pack Of 500
Loading...
Other Product Options
TOPS Laser CMS Claim Forms, 8 1/2" x 11", Pack Of 500
Double Sided Sheet - 1 PartCarbonless Copy - 8.50" x 11" Sheet Size - White Sheet(s) - Red Print Color - 500 / Pack
$37.71
Loading...
Loading...
Product Description
TOPS Laser CMS Claim Forms, 8 1/2" x 11", Pack Of 500
Double Sided Sheet - 1 PartCarbonless Copy - 8.50" x 11" Sheet Size - White Sheet(s) - Red Print Color - 500 / Pack
Description:
Arrange benefits payments from Medicare, Medicaid and insurance companies
- 20-lb paper is printed front and back with red OCR ink for improved scanning and reproduction.
- Approved by the American Medical Association for official use.
- SFI Certified.
Product Specifications
-
Assembly RequiredNo
-
Binding TypeGummed
-
Brand NameTops
-
Certifications & StandardsAMA NUCC Champus
-
Copy TypesOne-Part (No Copies)
-
Country of OriginUS
-
Dated/UndatedUndated
-
Environmental CertificationSustainable Forestry Initiative (SFI)
-
Environmentally FriendlyYes
-
FeaturesDouble Sided
-
Form Length8.50"
-
Form Size8.5 x 11 8.5 x 11
-
Form Width11"
-
Forms Per Page1
-
Global Product TypeInsurance Forms
-
Height9.5"
-
ManufacturerTOPS BUSINESS FORMS
-
Manufacturer Part Number50126RV
-
Manufacturer Website Addresswww.tops-products.com
-
Marketing InformationCMS-1500 form comply with current physicians standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Printed front and back in red OCR ink on white 20 lb bond without sensor bar. Compatible with laser printers.
-
Number of Holes Punched0
-
Number of Parts1
-
Packaged Quantity500 / Pack
-
Packaging500
-
Paper Color(s)White
-
Paper Stock20 lb Bond
-
Post-Consumer Recycled Content Percent0%
-
Post-consumer-waste%0%
-
Pre-Consumer Recycled Content Percent0%
-
Principal Heading(s)1500 Health Insurance Claim Form
-
Print ColorRed
-
Print TechnologyLaser
-
Print and Ruling Color(s)OCR Red
-
Printer CompatibilityLaser Inkjet Printer
-
Product ColorWhite
-
Product LineHCFA Forms
-
Product MaterialPaper
-
Product NameCMS-1500 Laser Printer Forms
-
Product TypeMedical Claim Form
-
Quantity500
-
RecycledNo
-
RefurbishedN
-
Sheet SizeLetter (8-1/2" x 11")
-
Special FeaturesLaser Printer Compatible
-
Total Recycled Content Percent0%
-
Width11"