20 lb – 11″ x 8.50″ Sheet Size – White Sheet(s) – Red Print Color – 250 / Pack
- CMS, NUCC and OMB approved format
- Printed front and back
- Convenient scanning
- Compatible with laser printers
$40.59
20 lb – 11″ x 8.50″ Sheet Size – White Sheet(s) – Red Print Color – 250 / Pack
| Categories | Claim/Medical Forms, Forms & Recordkeeping |
|---|---|
| Weight | 2.59 lbs |
| Dimensions | 11 × 8.5 × 1.1 in |
| Manufacturer | |
| Brand Name | TOPS |
| Product Type | Health Insurance Form |
| Country of Origin | United States |
| Manufacturer | TOPS Products |
| Manufacturer Part Number | 50135RV |
| Manufacturer Website Address | http://www.tops-products.com |
| Brand Name | TOPS |
| Product Name | CMS-15000 Health Insurance Claim Forms |
| Marketing Information | Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers. |
| Packaged Quantity | 250 / Pack |
| Product Type | Health Insurance Form |
| Basis Weight | 20 lb |
| Sheet Size | 11" Width x 8.50" Length |
| Sheet Color | White |
| Print Color | Red |
| Print Technology | Laser |
| Certifications & Standards |
|
| Recycled | No |
| Assembly Required | No |
| Country of Origin | United States |