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TOPS Laser CMS Forms With Bar, 8 1/2" x 11", White, Pack Of 250
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TOPS Laser CMS Forms With Bar, 8 1/2" x 11", White, Pack Of 250
20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack
$16.68
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Product Description
TOPS Laser CMS Forms With Bar, 8 1/2" x 11", White, Pack Of 250
20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack
Description:
Simple-to-read, government-approved form helps you fill out CMS claims
- Centers for Medicare and Medicaid Services (CMS) claim form.
- Compatible with laser printers.
- Features the American Medical Association approved format, revised 2/2012.
- 20-lb white paper is printed on the front and back in red OCR ink for easy reading.
- SFI Certified.
Product Specifications
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Additional Information20lb Bond Paper
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Assembly RequiredNo
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Brand NameTops
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Certifications & StandardsCMS NUCC OMB
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ColorWhite
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Copy TypesOne-Part (No Copies)
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Country of OriginUS
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Dated/UndatedUndated
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Environmental CertificationSFI
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Environmentally FriendlyYes
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FeaturesDouble Sided
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Form Length11"
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Form Size8.5 x 11 8.5 x 11
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Form Width8.50"
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Forms Per Page1
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Global Product TypeInsurance Forms
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ManufacturerTOPS BUSINESS FORMS
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Manufacturer Part Number50135RV
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Manufacturer Website Addresswww.tops-products.com
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Marketing InformationCMS 1500 Claim Form is in the AMA approved format. Printed front and back in red OCR ink on white, letter-size 20 lb. bond. Compatible with laser printers.
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Number of Holes Punched0
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Number of Parts1
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Packaged Quantity250 / Pack
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Packaging250
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Paper Color(s)White
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Paper Stock20 lb Bond
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Post-Consumer Recycled Content Percent0%
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Pre-Consumer Recycled Content Percent0%
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Principal Heading(s)1500 Health Insurance Claim Form
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Print ColorRed
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Print TechnologyLaser
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Print and Ruling Color(s)OCR Red
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Printer CompatibilityLaser Laser Printer
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Product LineLaser CMS Forms With Bar
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Product NameCMS-15000 Health Insurance Claim Forms
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Product TypeMedical Claim Form
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Quantity250
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RecycledNo
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RefurbishedN
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Sheet SizeLetter (8-1/2" x 11")
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Special FeaturesLaser Printer Compatible
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Total Recycled Content Percent0%