|Manufacturer Part Number:
|Databazaar Part Number:
||New & Original
TOPS™ Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack 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. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.
|Global Product Type:||Forms-Insurance|
|Form Size:||8 1/2 x 11|
|Forms Per Page:||1|
|Principal Heading(s):||1500 Health Insurance Claim Form|
|Layout:||One Form per Sheet|
|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:||For Laser Printers|
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