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. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Principal Heading(s): 1500 Health Insurance Claim Form.
Form Quantity | 500 |
Form Size | 8.5 x 11 |
Forms Per Page | 1 |
Global Product Type | Forms-Insurance |
Layout | One Form per Sheet |
Paper Color(s) | White |
Paper Stock | 20-lb. |
Post Recycled % | 0% |
Principal Heading(s) | 1500 Health Insurance Claim Form |
Print and Ruling Color(s) | OCR Red |
Printer Compatibility | Laser |
Recycled Content % | 0% |
Special Features | For Laser Printers |
Total Recycled % | 0% |