| General Information |
| Manufacturer |
TOPS Products |
| Manufacturer Part Number |
50135RV |
| Manufacturer Website Address |
http://www.tops-products.com |
| Brand Name |
TOPS |
| Product Name |
CMS-15000 Health Insurance Claim Forms |
| Marketing Information |
Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers. |
| Packaged Quantity |
1 Pack |
| Product Type |
Health Insurance Form |
| Product Information |
| Basis Weight |
20 lb |
| Sheet Size |
11" Width x 8.50" Length |
| Sheet Color |
White |
| Print Color |
Red |
| Print Technology |
Laser |
| Miscellaneous |
| Certifications & Standards |
CMS |
|
|
NUCC |
|
|
OMB |
| Recycled |
No |
| Assembly Required |
No |
| Country of Origin |
United States |
|