• The HCFA-1500 Form is a Health Insurance Claim Form. The form is required to reimburse health care providers for services rendered to injured employees covered under OWCP-administrative programs.

  • Inserters can fold and insert an H.C.F.A. form but it requires a custom fold. The mailing address is located at the very top of the form so a traditional C-Fold will not work.

  • The settings below should be used:

    - The settings may vary +/- 5mm to fit correctly in a window envelope.

    Models 

     Fold Type   

    Fold Setting

    Paper Direction

    M3000 / SI-62

    M3000 / DS-62

    M4000 / SI-68

    M5000 / DS-70

    M6000 / SI-76

    M7000 / DS-80 

    M8000 / SI-82

    M8600 / DS-86

    Z-Fold

    1st Fold: 95mm

    2nd Fold: 165mm

    Face up address leading

    M6000 / SI-76

    M7000 / DS-80

    M8000 / SI-82

    M8600 / DS-86

    (Machines fitted with turnover plate)

    Double Parallel Fold

    1st Fold: 40mm

    2nd Fold: 130mm

    Face up address leading

    M9000 / SI-92

    Double Parallel Fold

    1st Fold: 132mm

    2nd Fold: 90mm

    FE-7: Face down address trailing



    AS1A: Face up address leading

Date created:
02/01/2017 15:45:52
Last updated:
02/23/2017 20:56:28
Product(range):
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