TOPS Laser CMS Claim Forms, 8 1/2″ x 11″, Pack Of 500

Product Specifications

• Assembly Required
  No
• Binding Type
  Gummed
• Brand Name
  Tops
• Certifications & Standards
  AMA NUCC Champus
• Copy Types
  One-Part (No Copies)
• Country of Origin
  US
• Environmental Certification
  Sustainable Forestry Initiative (SFI)
• Environmentally Friendly
  Yes
• Features
  Double Sided
• Form Length
  8.50″
• Form Size
  8.5 x 11 8.5 x 11
• Form Width
  11″
• Forms Per Page
  1
• Global Product Type
  Insurance Forms
• Height
  9.5″
• Manufacturer
  TOPS BUSINESS FORMS
• Manufacturer Part Number
  50126RV
• Manufacturer Website Address
  www.tops-products.com
• Marketing Information
  CMS-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 Punched
  0
• Number of Parts
  1
• Packaged Quantity
  500 / Pack
• Packaging
  500
• Paper Color(s)
  White
• Paper Stock
  20 lb Bond
• Post-Consumer Recycled Content Percent
  0%
• Post-consumer-waste%
  0%
• Pre-Consumer Recycled Content Percent
  0%
• Principal Heading(s)
  1500 Health Insurance Claim Form
• Print Color
  Red
• Print Technology
  Laser
• Print and Ruling Color(s)
  OCR Red
• Printer Compatibility
  Laser Inkjet Printer
• Product Color
  White
• Product Line
  HCFA Forms
• Product Name
  CMS-1500 Laser Printer Forms
• Product Type
  Medical Claim Form
• Quantity
  500
• Recycled
  No
• Refurbished
  N
• Sheet Size
  Letter (8-1/2″ x 11″)
• Special Features
  Laser Printer Compatible
• Total Recycled Content Percent
  0%
• Width
  11″