Tops Products HCFA Claim Form Without Sensor Bar
Item No.
689258
Mfg Part No.
50126R
Availability
Not Available

Product Information for Tops Products HCFA Claim Form Without Sensor Bar

Highlights for Tops Products HCFA Claim Form Without Sensor Bar

  • Sheet Size:11" Length x 8.50" Width White Double Side

Marketing Information

CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back are printed in red OCR ink on white 20 lb. bond without sensor bar. Forms are compatible with laser printers.

General Information

  • Product Type: Claim Form
  • Manufacturer Part Number: 50126R
  • Manufacturer Website Address: www.tops-products.com
  • Packaged Quantity: 500 / Pack
  • Manufacturer: Tops
  • Product Name: HCFA Claim Form Without Sensor Bar
  • Brand Name: Tops
  • Miscellaneous

    Recycled

    No

    Recycled Content

    0%

    Post-consumer-waste%

    0%

    Assembly Required

    No

    Physical Characteristics

    Product Information

  • Print Technology: Laser
  • Print: Double Side Form With Red Ink
  • Sheet Size: 11" Length x 8.50" Width White Double Side
  • Number of Parts: 1 Part
  • Copy Type: Carbonless