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.

• Features
• CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
• Top sensor bar for microfiche duplication, as required in some states.
• OCR red ink for scanning.


• Specifications
• Form Quantity 250
• Form Size 8.5 x 11
• Forms Per Page 1
• Global Product Type Forms-Insurance
• Layout One Form per Sheet
• Paper Color White
• Paper Stock 20-lb.
• Post-Consumer Recycled Content Percent 0%
• Pre-Consumer Recycled Content Percent 0%
• Principal Heading 1500 Health Insurance Claim Form
• Print and Ruling Color OCR Red
• Printer Compatibility Laser
• Special Features For Laser Printers
• Total Recycled Content Percent 0%