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CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 100/Pack, Loose Forms

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Size (W x H): 8 1/2 in x 11 in; Number of Columns: N/A; Forms Per Page: N/A; Number of Entry Lines: N/A.
  • Usually arrives in 1-2 business days
  • Brand: TOPS®
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Item# Description Price Unit Stock Ship Order
TOP50126R (5.6 lbs) $37.06 $32.00 (save 13%) Pack 2813 Ship via UPS
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Specifications
Catalog Publishing Type Forms-Standard
Form Size (W x H) 8 1/2 in x 11 in
Form Type Insurance Claim
Format Loose Form
GL2010 Page Number 952
Global Product Type Forms-Insurance Claim
Layout One Form per Sheet
Paper Color(s) White
Paper Stock 20-lb.
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
Printer Compatibility Laser
Quantity 100 per pack
UOM from Inventory Unit Code PK
Product Information
Universal Product Code (UPC) 50025932501260
United Nations Product Code 14111806
Country of origin US
Keywords Claim Form, Claim Forms, CMS, CMS-1500, Continuous Form, HCFA Claim Form, Health Care Claim Forms, Human Resources, Insurance Forms, Personnel, Personnel Forms, TOPS
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