CMS-1500 claim forms 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.
| Brand Name: | TOPS |
| Form Size: | 8 1/2" x 11" |
| Length in Inches: | 11 |
| Medical Form Pack Size: | 250 |
| Number of Parts: | 1 |
| Pack Qty: | 1 |
| Series or Collection: | Centers for Medicare and Medicaid Services |
| True Color: | Red and White |
| Width in Inches: | 8.5 |