Description
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.
Product Details**
| Global Product Type | Insurance Forms |
| Form Type Details | CMS-1500 |
| Dated/Undated | Undated |
| Forms Per Page | 1 |
| Format Indicator | Unbound |
| Copy Types | One-Part (No Copies) |
| Color Family | White |
| Form Size | 8.5 x 11 |
| Form Quantity (Total) | 500 |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Paper Color(s) | White |
| Printer Compatibility | Laser |
| Paper Stock | 20 lb Bond |
| Print and Ruling Color(s) | OCR Red |
| Pre-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Total Recycled Content Percent | 0% |
| Special Features | Laser Printer Compatible |
| Country Of Origin | US |
| Carton Weight | 28 lbs. |
| Carton Pack Quantity | 5 PK |
| Pack Quantity | 500 EA |
| UPC | 025932512605 |
| UNSPSC | 14111806 |
Shipping Weight & Item Dimensions
| Weight | 5.193 lbs. |
| Length | 11 in |
| Height | 2.2 in |
| Width | 8.5 in |
Warranty
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