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TOPS
TOPS Laser 1-part CMS-1500 Health Insur. Clm Forms
- Item #
- TOP 50135RV
- Mfr. part #
- 50135RV
- UPC
- 025932513503
Account pricing
This item is priced per account. Email or call and we'll send your price.
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.
- CMS, NUCC and OMB approved format
- Printed front and back
- Convenient scanning
- Compatible with laser printers
General Information
| Manufacturer | TOPS Products |
|---|---|
| Manufacturer Part Number | 50135RV |
| Brand Name | TOPS |
| Product Name | CMS-15000 Health Insurance Claim Forms |
| Packaged Quantity | 1 Pack |
| Product Type | Health Insurance Form |
Product Information
| Basis Weight | 20 lb |
|---|---|
| Sheet Size | 11" Width x 8.50" Length |
| Sheet Color | White |
| Print Color | Red |
Miscellaneous
| Recycled | No |
|---|---|
| Country of Origin | United States |