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. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.
Products specifications
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Form Type Details
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CMS-1500 |
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Global Product Type
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Insurance Forms |
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Dated/Undated
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Undated |
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Forms Per Page
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1 |
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Form Size
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8.5 x 11 |
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Format Indicator
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Unbound |
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Form Quantity (Total)
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250 |
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Copy Types
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One-Part (No Copies) |
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Principal Heading(s)
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1500 Health Insurance Claim Form |
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Paper Color(s)
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White |
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Color Family
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White |
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Printer Compatibility
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Laser |
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Paper Stock
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20 lb Bond |
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Print and Ruling Color(s)
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OCR Red |
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Product Biodegradability in Days
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0 |
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Pre-Consumer Recycled Content Percent
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0 |
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Post-Consumer Recycled Content Percent
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0 |
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Total Recycled Content Percent
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0 |
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Special Features
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Laser Printer Compatible |
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Brand
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TOPS |
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Manufacturer
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TOPS |
