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 Without Sensor Bar printable version

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • OCR red ink for scanning.
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.

Click on the Product No(s). below to view further information and order now!


Product No. TOP50126R
Form Type Insurance Claim
Format Loose Form
Form Size 8 1/2 x 11
Principal Heading(s) 1500 Health Insurance Claim Form
Layout One Form per Sheet
Copy Type
Punching
Printer Compatibility Laser
Paper Stock 20-lb.
Paper Color(s) White
Print and Ruling Color(s) OCR Red
Pre-Consumer Recycled Content Percent 0 %
Post-Consumer Recycled Content Percent 0 %
Total Recycled Content Percent 0 %
Price
PK$31.79


Product No. TOP50124R
Form Type Insurance Claim
Format Continuous Form Set
Form Size 8 1/2 x 11
Principal Heading(s) 1500 Health Insurance Claim Form
Layout One Form per Sheet
Copy Type 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
Pre-Consumer Recycled Content Percent 0 %
Post-Consumer Recycled Content Percent 0 %
Total Recycled Content Percent 0 %
Price
CT$151.43


Product No. TOP50122R
Form Type Insurance Claim
Format Continuous Form
Form Size 8 1/2 x 11
Principal Heading(s) 1500 Health Insurance Claim Form
Layout One Form per Sheet
Copy Type
Punching Dot Matrix Holes
Printer Compatibility Dot Matrix
Paper Stock 20-lb.
Paper Color(s) White
Print and Ruling Color(s) OCR Red
Pre-Consumer Recycled Content Percent 0 %
Post-Consumer Recycled Content Percent 0 %
Total Recycled Content Percent 0 %
Price
CT$141.98