TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 250 Forms/Pack

Part # TOP50135RV

UPC 025932513503

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Product Details

TOPS Laser 1-part CMS-1500 Health Insur. Clm Forms - 20 lb - 11" x 8 1/2" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack

Part #: TOP50135RV
MPN: TOP 50135RV
UNSPSC:

20 lb - 11" x 8 1/2" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack

General Information

Manufacturer:TOPS Products
Manufacturer Part Number:50135RV
Manufacturer Website Address:http://www.tops-products.com
Brand Name:TOPS
Product Name:Laser 1-part CMS-1500 Health Insur. Clm Forms
Marketing Information:

Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.

Packaged Quantity:250 / Pack
Product Type:Health Insurance Form

Product Information

Basis Weight:20 lb
Sheet Size:11" Width x 8 1/2" Length
Sheet Color:White
Print Color:Red
Print Technology:Laser

Miscellaneous

Certifications & Standards:

CMS
NUCC
OMB

Recycled:No
Assembly Required:No
Country of Origin:United States

Health insurance claim forms are in the CMS, NUCC and OMB approved format
They are printed front and back in red OCR ink on white, letter-size, 20 lb
bond for convenient scanning
Forms are compatible with laser printers.

Brand	TOPS
Form Size	8.5 x 11
Forms Per Page	1
Form Quantity	250
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
Country of Origin	US
Prop65	No
Unit of Measure	PK
Last Updated	8/11/2020