
FKJHQ63O
TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms
Request pricingIn stock
Quote-list controls are preparing. If they remain unavailable, enable JavaScript or reload this page. You can still browse product details.
Adds this item to your quote list. Pricing and fulfillment details are confirmed after review. No order or payment is created.
- Facilitates Medicare, Medicaid and private insurance processing
- Complies with NUCC, CMS, and AMA specifications
- Compatible with laser printers – no copies required
- Official red OCR ink printed front and back for scanning
- Current (02/12) revision of the CMS-1500 form
- 500 forms total, one-part continuous sheets
Description
TOPS™ CMS-1500 Medicare and Medicaid claim forms designed for laser printers to process healthcare claims efficiently. These official forms comply with NUCC, CMS, and AMA standards and feature the (02/12) version printed in red OCR ink on both sides for optimal scanning. Ideal for medical billing, insurance claims, and healthcare administrative purposes. Enhance your medical office workflow with these reliable, high-quality healthcare insurance claim forms.
- Form Type: CMS-1500 Claim Form
- Format: One-part (No copies)
- Dimensions: 8.5 x 11 inches
- Printer Compatibility: Laser Printers
- Ink Color: Red OCR
- Revision: 02/12
- Quantity: 500 forms
Specifications
- attributes
- 500 forms per pack",One-part,"8.5 x 11 inches