TOP 50129R by Tops

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning.

• Global Product Type : Forms-Insurance Claim

• Form Size (W x H) : 8 1/2 in x 11 in

• Format : Continuous Form Set

• Principal Heading(s) : 1500 Health Insurance Claim Form

• Layout : One Form per Sheet

• Copy Types : Black Print Carbonless Duplicate

• Punching : Dot Matrix Holes

• Printer Compatibility : Dot Matrix

• Paper Stock : 20-lb.

• Paper Color(s) : White

• Print and Ruling Color(s) : OCR Red