Highlights
View Details- 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
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
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CMS-1500 claim forms 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
- Made in the USA
- 250 forms per pack
| Manufacturer # | 50135RV |
| Brand Name | TOPS |
| Form Size | 8 1/2" x 11" |
| Length in Inches | 11 |
| Medical Form Pack Size | 250 |
| Medical Form Type | Consent |
| Next Day Delivery | Yes |
| Number of Parts | 1 |
| Pack Qty | 1 |
| Print Type | Continuous |
| Series or Collection | Centers for Medicare and Medicaid Services |
| True Color | Red and White |
| Width in Inches | 8.5 |
Details
CMS-1500 claim forms 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
- Made in the USA
- 250 forms per pack
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