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Tops Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms (TOP50124R)

 
Tops Business Forms Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

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Centers for Medicare and Medicaid Services Forms

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1.

Product Specifications

  • Global Product Type: Forms-Insurance Claim
  • Form Size: 8 1/2 x 11
  • Forms Per Page: 1
  • Form Quantity: 1500
  • Principal Heading(s): 1500 Health Insurance Claim Form
  • Layout: One Form per Sheet
  • Copy Types: Carbonless Duplicate
  • Punching: Dot Matrix Holes
  • Printer Compatibility: Dot Matrix
  • Paper Stock: 20-lb.
  • Paper Color(s): White
  • Print and Ruling Color(s): OCR Red
  • Pre-Consumer Recycled Content Percent: 0%
  • Post-Consumer Recycled Content Percent: 0%
  • Total Recycled Content Percent: 0%
  • Footnote 1: Carbonless Duplicate
  • Special Features: Carbonless Duplicate

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