Tops CMS Health Insurance Claim Form with Sensor Bar TOP50135R + Click to enlarge

Tops CMS Health Insurance Claim Form with Sensor Bar

11" x 8.50" Form Size - 250 / Pack

This product is discontinued.

CMS 1500 Claim Form is in the AMA approved format. Printed front and back in red OCR ink on white, letter-size 20 lb. bond. Compatible with laser printers.

SKU
TOP50135R
Manufacturer
Tops Products
Manufacturer Part Number
50135R
Brand Name
Tops
Packaged Quantity
250 / Pack
Product Type
Claim Form
Color
White
Form Size
11" Length x 8.50" Width
Print
Front Side Form With Red Ink
Print Technology
Laser
Additional Information

20lb Bond Paper

Certifications & Standards

AMA Approved

Recycled
No
Green Compliant
Yes
Green Compliance Certificate/Authority
SFI