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CMS Health Insurance Form 1500 Claim, 8-1/2 x 11, 250/Pack, Loose Forms

  • 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. Form Type: Insurance Claim; Format: Loose Form; Form Size (W x H): 8 1/2 in x 11 in; Sheet Size (W x H): N\A.
  • Usually arrives in 1-2 business days
  • Brand: TOPS®
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Item# Description Price Unit Stock Ship Order
TOP50135R (2.8 lbs) $18.40 $14.31 (save 22%) Pack 740 Ship via UPS
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Specifications
Form Size (W x H) 8 1/2 in x 11 in
Form Type Insurance Claim
Format Loose Form
GL08 Old Page 918
Global Product Type Forms
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
UOM from Inventory Unit Code PK
Product Information
Universal Product Code (UPC) 50025932501352
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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TOP50129R (2.1 lbs) $23.48 $21.18 (save 9%) Pack 643 Ship via UPS
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