Janitorial Supplies Restaurant Supplies Office Supplies Snacks & Breakroom Industrial & Safety Technology Products Ink & Toner Office Furniture

Tops Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms (TOP50126RV)

Tops Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms (TOP50126RV)
 zoom

Price $40.78 /Pack

$26.42 /Pack (Save 35%)

Buy 15 or more for only $26.02 /Pack
Tops Business Forms Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms
  • Product SKU: TOP50126RV
  • Includes 500 forms
  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits
  • Top sensor bar for microfiche duplication, as required in some states
  • OCR red ink for scanning

Product Description

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. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.

Tops Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms

Product Specifications

  • Global Product Type: Forms-Insurance Claim
  • Form Size: 8 1/2 x 11
  • Forms Per Page: 1
  • Form Quantity: 500
  • Principal Heading(s): 1500 Health Insurance Claim Form
  • Layout: One Form per Sheet
  • Printer Compatibility: Laser
  • 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%
  • Special Features: For Laser Printers
 
Sign up for a $5.00 Instant Coupon