TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$19.99
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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
Final price is $19.99
pack
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Online. In store. Always free.
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Price is $8.59
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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Price is $189.99, Regular price was $309.99, You save 39%
Free Next-Day eligible by tomorrow
30-min pickup
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Price is $59.99, Regular price was $129.99, You save 54%
Free Next-Day eligible by tomorrow
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Price is $3.19
Next-Day Delivery by tomorrow
30-min pickup
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Compare similar items
| Attributes | TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) | Adams Health Insurance Claims (CMS1500CV) | 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) |
|---|---|---|---|---|---|
Your product TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) Price is $19.99 |  Price is $8.59 |  Price is $34.59 |  Price is $51.89 |  Price is $66.89 | |
| Reviews | |||||
| Delivery Information | Delivery by Thu, Oct 08 | Pick up in 30 minutes | Next-Day Delivery by tomorrow | Free Next-Day eligible by tomorrow | Free delivery by Tue, Oct 13 |
| Available in my store | No | Yes | No | No | No |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 9.5 | 8.5 | 8.5 | 8.5 |
| Medical Form Pack Size | 250 | 100 | 250 | 500 | 1000 |
| Medical Form Type | Consent | Health Insurance Claims | Consent | Health Insurance Claims | Dental Claims |
| Print Type | Continuous | Data not available | Continuous | Laser | Laser |
| True Color | Red and White | White | Red and White | White / Red | White |
| Pack Qty | 1 | 100 | 1 | 1 | Data not available |
| Number of Parts | 1 | Data not available | 1 | 1 | 1 |
| Form Size | 8 1 / 2" x 11" | 9 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 | ADA | Centers for Medicare and Medicaid Services | CMS-1500 | Data not available |
| Next Day Delivery | Yes | Data not available | Yes | Yes | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Price is $81.69
Unit of measure 500/Box
Free delivery by Mon, Oct 12
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Price is $16.19
Delivery by Thu, Oct 15
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Price is $17.95
Delivery by Thu, Oct 15
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Price is $21.69
Delivery by Thu, Oct 15
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Price is $33.89
Delivery by Thu, Oct 15
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