Ready to Buy?
+ Free Shipping
1-2 Business Days
for Medicare & Medicaid Services Forms, 2-Part, 8-1/2"W x 11"H, 1500 Forms
Item #: TOP50124RV
FREE Shipping on this item
Description: Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.
- CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
- Top sensor bar for microfiche duplication, as required in some states.
- OCR red ink for scanning.
Looking for more items of this kind?
8 1/2 x 11
Forms Per Page:
1500 Health Insurance Claim Form
One Form per Sheet
Dot Matrix Pin Feed Holes
Print and Ruling Color(s):
Pre-Consumer Recycled Content Percent:
Post-Consumer Recycled Content Percent:
Total Recycled Content Percent:
This product is not yet rated. Be the first to Write a Review!