Material Handling Solutions Llc Material Handling Solutions Llc
4001 S Shary Rd Ste 550
Mission, TX 78572

Phone: 956-465-4177
Fax: 206-984-3770

Tops® Centers For Medicare And Medicaid Services (Cms) Forms printable version

   
Product No. TOP50135R
Global Product Type Forms-Insurance Claim
Form Type Insurance Claim
Format Loose Form
Form Size (W x H) 8 1/2 in x 11 in
Form Size 8 1/2 x 11
Forms Per Page 1
Principal Heading(s) 1500 Health Insurance Claim Form
Form Quantity 250
Layout One Form per Sheet
Copy Type
Punching
Copy Types
Printer Compatibility Laser
Paper Stock 20-lb.
Paper Color(s) White
Print and Ruling Color(s) OCR Red
Form Special Features For Laser Printers
Pre-Consumer Recycled Content Percent 0 %
Post-Consumer Recycled Content Percent 0 %
Total Recycled Content Percent 0 %
PK $22.10
Quantity