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TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part, 8.5 x 11, 250 Forms — image 1 of 1
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Product specification

TOPS™ CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part, 8.5 x 11, 250 Forms

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  • Approved CMS-1500 version (02/12) expedites Medicare, Medicaid, and private insurance claims
  • Designed for laser printers with OCR red ink on front and back for accurate scanning
  • Top sensor bar for microfiche duplication
  • Undated, single-page, one-part forms (no copies)
  • Perfect for healthcare providers and billing offices HIPAA-compliant

Description

Streamline insurance claims processing with TOPS™ CMS-1500 Medicare/Medicaid forms, designed for laser printers. These forms comply with NUCC, CMS, and AMA approved standards (02/12 version) and are printed on both sides in OCR red ink to ensure reliable scanning and data capture. Featuring a top sensor bar suitable for microfiche duplication required in some states, they come undated and laser-compatible for easy printing. Ideal for billing Medicare, Medicaid, and private insurance claims, these 8.5 x 11 inch, one-part forms help expedite reimbursement. Perfect for healthcare providers, medical offices, and billing services looking for HIPAA-compliant insurance paperwork solutions.
  • Global Product Type: Insurance Forms
  • Form Type Details: CMS-1500
  • Dated/Undated: Undated
  • Forms Per Page: 1
  • Form Size: 8.5 x 11 inches
  • Format Indicator: Unbound
  • Form Quantity (Total): 250
  • Copy Types: One-Part (No Copies)
  • Principal Heading(s): 1500 Health Insurance Claim Form
  • Paper Color(s): White
  • Color Family: White
  • Printer Compatibility: Laser
  • Paper Stock: 20 lb Bond
  • Print and Ruling Color(s): OCR Red
  • Product Biodegradability: 0 days
  • Pre-Consumer Recycled Content: 0%
  • Post-Consumer Recycled Content: 0%
  • Total Recycled Content: 0%
  • Special Features: Laser Printer Compatible
  • Country of Origin: US
  • Carton Pack Quantity: 8
  • Pack Quantity: 250
  • UPC: 025932513503
  • UNSPSC: 14111806

Specifications

attributes
  • Pack of 250 forms