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Office Supplies > Forms, Recordkeeping & Reference Materials > Forms

TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms, 8 1/2 x 11, 250 Forms/Pack

Manufacturer Number: 50135RV
Number: TOP-50135RV



A Picture of product TOP-50135RV TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms, 8 1/2 x 11, 250 Forms/Pack

A Picture of product TOP-50135RV TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms, 8 1/2 x 11, 250 Forms/Pack
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Product Details

Package* Information
Product Details:
Number: TOP-50135RV
Description: TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms, 8 1/2 x 11, 250 Forms/Pack
Additional Information:

Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar.

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

  • 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.
Status: Current
Manufacturer Number: 50135RV
Manufacturer Name: TOPS Products
Supplier categories Office Supplies, Forms, Recordkeeping & Reference Materials, Forms
Unspsc 14111806
Keywords CMS, CMS-1500, Claim Form, Claim Forms, Continuous Form, Documents, HCFA Claim Form, Health Care Claim Forms, Human Resources, Insurance Forms, Paperwork, Personnel, Personnel Forms, Pre-Printed, Record-Keeping, Records, TOPS
Layout One Form per Sheet
Printer Compatibility Laser
Post-Consumer Recycled Content Percent 0%
Pre-Consumer Recycled Content Percent 0%
Paper Stock 20-lb.
Forms Per Page 1
Paper Color(s) White
Form Size 11 x 8 1/2
Form Quantity 250
Total Recycled Content Percent 0%
Print and Ruling Color(s) OCR Red
Principal Heading(s) 1500 Health Insurance Claim Form
Global Product Type Forms-Insurance Claim
Special Features For Laser Printers