FORM,CMS-1500,INS,3000/CT
Centers for Medicare and Medicaid Services Forms, 3000 Forms/Carton
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. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 3000; Principal Heading(s): 1500 Health Insurance Claim Form.
Notes
- 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.
- 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.
- 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.
- 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.
Specifications
- Global Product Type: Forms-Insurance
- Form Size: 8 1/2 x 11
- Forms Per Page: 1
- Form Quantity: 3000
- Principal Heading(s): 1500 Health Insurance Claim Form
- Layout: One Form per Sheet
- Punching: Dot Matrix Pin Feed Holes
- Printer Compatibility: Dot Matrix
- 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: Continuous Form
- Product_Description: FORM,CMS-1500,INS,3000/CT
- Long_Item_Description: Centers for Medicare and Medicaid Services Forms, 3000 Forms/Carton
- Item_Consolidated_Copy: 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. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 3000; Principal Heading(s): 1500 Health Insurance Claim Form.
Additional informations
| ItemBrandID: | 2687 | ||
| Vendor: | VendorNumber: 5603 VendorShortName: TOPS | ||
| Brand: |
TOPS™  |
||
| Source ID: | TOP50122RV | ||
| ItemKeywords: | Claim Form; Claim Forms; CMS; CMS-1500; Continuous Form; HCFA Claim Form; Health Care Claim Forms; Human Resources; Insurance Forms; Personnel; Personnel Forms; TOPS; Paperwork; Records; Documents; Pre-Printed; Record-Keeping | ||
| Product_SKU: | 50122RV | ||
| Product_Number: | 9472556 | ||
| ItemStatus: | Y | ||
| Stock_Number: | 50122RV | ||
| Category #1: | Office Supplies (#3) | ||
| Category #2: | Forms, Recordkeeping & Reference Materials (#46) | ||
| Category #3: | Forms (#376) | ||
| Product Class Category: | FORMS,GENERAL (#257) | ||
| ItemWeight: | 32.00 | ||
| Country: | CountryOriginCode: US CountryCode: USA | ||
| ListDate: | StartDate: 2019-07-01 00:00:00 EndDate: 2050-12-31 00:00:00 | ||
| Status Code: | SC1: N SC2: Z SC3: N | ||
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