TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/Pack
Part # TOP50126RV
UPC 025932512605
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Product Details
TOPS CMS-1500 Laser Printer Forms - 20 lb - 1 Part - 8.50" x 11" Form Size - White - Red Print Color - Paper - 500 / Pack
- Part #: TOP50126RV
- MPN: TOP 50126RV
- UNSPSC:
20 lb - 1 Part - 8.50" x 11" Form Size - White - Red Print Color - Paper - 500 / Pack
General Information
Manufacturer:TOPS Products
Manufacturer Part Number:50126RV
Manufacturer Website Address:http://www.tops-products.com
Brand Name:TOPS
Product Name:CMS-1500 Laser Printer Forms
Marketing Information:
Packaged Quantity:500 / Pack
Product Type:Health Insurance Form
Manufacturer:TOPS Products
Manufacturer Part Number:50126RV
Manufacturer Website Address:http://www.tops-products.com
Brand Name:TOPS
Product Name:CMS-1500 Laser Printer Forms
Marketing Information:
CMS-1500 forms 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. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".
Packaged Quantity:500 / Pack
Product Type:Health Insurance Form
Product Information
Basis Weight:20 lb
Form Length:8.50"
Form Width:11"
Number of Parts:1
Print Color:Red
Print Technology:Laser
Basis Weight:20 lb
Form Length:8.50"
Form Width:11"
Number of Parts:1
Print Color:Red
Print Technology:Laser
Physical Characteristics
Color:White
Material:Paper
Height:9.5"
Width:11"
Color:White
Material:Paper
Height:9.5"
Width:11"
Miscellaneous
Certifications & Standards:
Recycled:No
Assembly Required:No
Country of Origin:United States
Certifications & Standards:
- AMA
- NUCC
- Champus
Recycled:No
Assembly Required:No
Country of Origin:United States
- CMS-1500 forms 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
- Front and back of the white 20 lb
- bond paper are printed in red OCR ink without a sensor bar
- Forms are compatible with laser printers
| Brand | TOPS |
|---|---|
| Form Size | 8.5 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 |
| Country of Origin | US |
| Prop65 | No |
| Unit of Measure | PK |
| Last Updated | 8/11/2020 |
Additional Information
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