$73.62
20 lb – 1 Part – 8.50″ x 11″ Form Size – White – Red Print Color – Paper – 500 / Pack
| Categories | Claim/Medical Forms, Forms & Recordkeeping |
|---|---|
| Weight | 5.4 lbs |
| Dimensions | 11 × 8.5 × 2.2 in |
| Manufacturer | |
| Brand Name | TOPS |
| Product Type | Health Insurance Form |
| Product Color | White |
| Product Material | Paper |
| Height | 9.5" |
| Width | 11" |
| Country of Origin | United States |
| Color Family | White |
| Manufacturer | TOPS Products |
| Manufacturer Part Number | 50126RV |
| Manufacturer Website Address | http://www.tops-products.com |
| Brand Name | TOPS |
| Product Name | CMS-1500 Laser Printer Forms |
| 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 of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11". |
| Packaged Quantity | 500 / Pack |
| Product Type | Health Insurance Form |
| Basis Weight | 20 lb |
| Form Length | 8.50" |
| Form Width | 11" |
| Number of Parts | 1 |
| Print Color | Red |
| Print Technology | Laser |
| Color Family | White |
| Product Color | White |
| Product Material | Paper |
| Height | 9.5" |
| Width | 11" |
| Certifications & Standards |
|
| Recycled | No |
| Assembly Required | No |
| Country of Origin | United States |
