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.
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)
250
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
Product Biodegradability in Days
0
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
Special Features
Laser Printer Compatible