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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$17.89
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Highlights
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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 $17.89
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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

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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 Notice of Privacy Practice, 100/Pack (A1349) ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
Your product
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Price is $17.89
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 Notice of Privacy Practice, 100/Pack (A1349)
Price is $19.59
ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)~#|#~4A9BEC59-372C-4BA2-98230C384214A03F_sc7
Price is $66.89
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Delivery Information
Delivery by Tue, Sep 22
Delivery by Mon, Sep 21
Free delivery by Mon, Sep 21
Delivery by Tue, Sep 29
Free delivery by Fri, Sep 25
Available in my store
No
No
No
No
No
Width in Inches
8.5
8.5
8.5
8.5
8.5
Medical Form Pack Size
250
250
500
100
1000
Medical Form Type
Consent
Consent
Health Insurance Claims
Privacy Practice
Dental Claims
Length in Inches
11
11
11
11
11
True Color
Red and White
Red and White
White / Red
White
White
Pack Qty
1
1
1
1
Data not available
Print Type
Continuous
Continuous
Laser
Data not available
Laser
Number of Parts
1
1
1
Data not available
1
Form Size
8 1 / 2" x 11"
8 1 / 2" x 11"
8 1 / 2" x 11"
8 1 / 2" x 11"
8-1 / 2" x 11"
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
Price Per Unit
Data not available
Data not available
Data not available
Data not available
Data not available
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