Home / Office Supplies / Office / Forms, Recordkeeping & Reference Materials / Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/PackTOP-50126RV
Picture of Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/PackTOP-50126RV

Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8 1/2 x 11, 500 Forms/PackTOP-50126RV

Centers-for-Medicare-and-Medicaid-Services-Claim-Forms,-CMS1500-HCFA1500,-8-1-2-x-11,-500-Forms-PackTOP-50126RV

SKU #

#860876

MPN #

TOP-50126RV

Brand

TOPS™

Stock

In Stock

Quantity

100

Features

FORM,CMS1500,INS,500/PK

$47.08 USD

Product Specifications Product Usage Additional Information
Print
Attribute Name Attribute Value
McKesson # 860876
Manufacturer # TOP-50126RV
Manufacturer TOPS™
Form Quantity 500
Form Size 8.5 x 11
Forms Per Page 1
Global Product Type Forms-Insurance
Layout One Form per Sheet
Paper Color(s) White
Paper Stock 20-lb.
Post-Consumer Recycled Content Percent 0%
Pre-Consumer Recycled Content Percent 0%
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
Printer Compatibility Laser
Special Features For Laser Printers
Total Recycled Content Percent 0%
UNSPSC 14111806
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  • 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.