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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$18.69
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  • 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

TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)

Item #: TOP50135RVModel #: TOP50135RV
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Final price is $18.69
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    • About this product

    CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits. Features OCR red ink for scanning.

    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.

    • 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
    • Made in the USA
    • 250 forms per pack

    Compare similar items

    Product specifications table
    Attributes TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411) ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)
    Your product
    TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
    Price is $18.69
    TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11" (50135RV)~#|#~s1053550_sc7
    Price is $34.59
    TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)~#|#~43D41C18-579A-4B95-856C2FF6A9BDA1E7_sc7
    Price is $51.89
    ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)~#|#~4A9BEC59-372C-4BA2-98230C384214A03F_sc7
    Price is $66.89
    ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)~#|#~BEEB25B0-3006-416D-A7EB845F6AB6205B_sc7
    Price is $30.19
    Reviews
    4.5
    8
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    Delivery Information
    Delivery by Thu, Aug 27
    Next-Day Delivery by tomorrow
    Free Next-Day eligible by tomorrow
    Free delivery by Tue, Sep 01
    Delivery by Fri, Sep 04
    Available in my store
    No
    No
    No
    No
    No
    Length in Inches
    11
    11
    11
    11
    11
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Medical Form Pack Size
    250
    250
    500
    1000
    500
    Medical Form Type
    Consent
    Consent
    Health Insurance Claims
    Dental Claims
    Health Insurance Claims
    True Color
    Red and White
    Red and White
    White / Red
    White
    Data not available
    Print Type
    Continuous
    Continuous
    Laser
    Laser
    Laser
    Pack Qty
    1
    1
    1
    Data not available
    Data not available
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8-1 / 2" x 11"
    Data not available
    Number of Parts
    1
    1
    1
    1
    Data not available
    Series or Collection
    Centers for Medicare and Medicaid Services
    Centers for Medicare and Medicaid Services
    CMS-1500
    Data not available
    Data not available
    Next Day Delivery
    Yes
    Yes
    Yes
    Data not available
    Data not available
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    Add To Cart
    Add To Cart
    Add To Cart
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