General Information

---

Manufacturer:TOPS Products
Manufacturer Part Number:50126RV
Manufacturer Website Address:http://www.tops-products.com
Brand Name:TOPS
Product Name:CMS-1500 Laser Printer Forms
Marketing Information:

CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".

Packaged Quantity:500 / Pack
Product Type:Health Insurance Form

Product Information

---

Basis Weight:20 lb
Form Length:8.50"
Form Width:11"
Number of Parts:1
Print Color:Red
Print Technology:Laser

Physical Characteristics

---

Color:White
Material:Paper
Height:9.5"
Width:11"

Miscellaneous

---

Certifications & Standards:

• AMA
• NUCC
• Champus

Recycled:No
Assembly Required:No
Country of Origin:United States