Product Description
- 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
- Additional Information20lb Bond Paper
- Assembly RequiredNo
- Brand NameTops
- Certifications & StandardsCMS NUCC OMB
- ColorWhite
- Copy TypesOne-Part (No Copies)
- Country of OriginUS
- Environmental CertificationSFI
- Environmentally FriendlyYes
- FeaturesDouble Sided
- Form Length11″
- Form Size8.5 x 11 8.5 x 11
- Form Width8.50″
- Forms Per Page1
- Global Product TypeInsurance Forms
- ManufacturerTOPS BUSINESS FORMS
- Manufacturer Part Number50135RV
- Manufacturer Website Addresswww.tops-products.com
- 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.
- Number of Holes Punched0
- Number of Parts1
- Packaged Quantity250 / Pack
- Packaging250
- Paper Color(s)White
- Paper Stock20 lb Bond
- Post-Consumer Recycled Content Percent0%
- 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 Laser Printer
- Product LineLaser CMS Forms With Bar
- Product NameCMS-15000 Health Insurance Claim Forms
- Product TypeMedical Claim Form
- Quantity250
- RecycledNo
- RefurbishedN
- Sheet SizeLetter (8-1/2″ x 11″)
- Special FeaturesLaser Printer Compatible
- Total Recycled Content Percent0%



















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