- CMS, NUCC and OMB approved format
- Printed front and back
- Convenient scanning
- Compatible with laser printers
<
>
TOPS CMS-15000 Health Insurance Claim Forms
20 lb - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack
Product Code: TOP50135RV
Product Unit: PK1
22 Stock Available
People who bought this also bought
-
Product Code: ABFSC1152206 Stock Available
-
Product Code: AVE0520375 Stock Available
-
Product Code: BRI900013486 Stock Available
-
Product Code: BSN0446879 Stock Available
-
Product Code: BSN365911201 Stock Available
-
Product Code: BSN65639807 Stock Available
-
Product Code: PFX1524EAM33 Stock Available
-
Product Code: SAN30665PPA156 Stock Available
-
Product Code: SPZEC851196570 Stock Available
-
Product Code: SPZOS85192470 Stock Available
Product Details
General Information
| 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 |
Product Information
| Basis Weight | 20 lb |
| Sheet Size | 11" Width x 8.50" Length |
| Sheet Color | White |
| Print Color | Red |
| Print Technology | Laser |
Miscellaneous
| Certifications & Standards |
|
| Recycled | No |
| Assembly Required | No |
| Country of Origin | United States |
Description
Accessories
Alternative Products
We are sorry but no alternatives are currently available.