Shop TOPS
See all product information
Create Account
Laser Printer Claim Forms, CMS-1500, 1-Part, 9-1/2"x11", 500/PK 500PK
Mfr # TOP50126RV
Zoro # G801847429
product price:Â $43.35
/pk 500, $0.09/eaKey Features
Color
White
Width
11 in
Basis Weight
20 lb
Length
8-1/2 in
Standards
AMA, NUCC, Champus
Unlock 30-day payment terms
Business customers can apply for Net 30—no fees, no interest, fast approval.
Terms apply.
Get 10% off your order
Sign up for our email list and receive your promo code via email.
Specifications
Product Information
MFR #
TOP50126RV
Zoro #
G801847429
UPC #
25932512605
Country of Origin
United States
Dimensions
Width
11 in
Length
8-1/2 in
Details
Item
Health Insurance Form
Color
White
Basis Weight
20 lb
Standards
AMA, NUCC, Champus
Print Type
Laser
Print Color
Red
Material
Paper
Description
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".
Restrictions
WARNING:
Cancer and Reproductive Harm
For more information go to
www.P65Warnings.ca.gov
Ratings & reviews
3 reasons you can count on us
Supplies for every job.
10 million items and the exact one you need.
When you need it fast, count on Zoro!
2 million products ship in 1 day.
Stretch your budget further.
Everyday low prices on the brands you love.