TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$18.69
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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
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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: TOP50135RVModel #: TOP50135RV
Final price is $18.69
pack
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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
Frequently bought together
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Price is $74.99, Regular price was $79.99, You save 6%
Delivered Electronically
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Price is $39.99, Regular price was $81.99, You save 51%
Unit of measure 5000/Carton
Free Next-Day eligible by tomorrow
30-min pickup
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Price is $329.99, Regular price was $529.99, You save 37%
Free Next-Day eligible by tomorrow
30-min pickup
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Price is $19.99
Unit of measure 100/Box Price per unit $0.20/File Folder
Next-Day Delivery by tomorrow
30-min pickup
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NeeDoh Dream Drop, Color Chosen at Random (DRDND) is In-store only
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Compare similar items
| 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, 500 Forms/Pack (20241500) | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) |
|---|---|---|---|---|---|
Your product TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) Price is $18.69 |  Price is $34.59 |  Price is $51.89 |  Price is $43.59 |  Price is $133.69 | |
| Reviews | |||||
| Delivery Information | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow | Free Next-Day eligible by tomorrow | Free delivery by Mon, Apr 06 | Free delivery by Mon, Apr 06 |
| 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 | 500 | 2500 |
| Medical Form Type | Consent | Consent | Health Insurance Claims | Dental Claims | Dental Claims |
| True Color | Red and White | Red and White | White / Red | White | White |
| Print Type | Continuous | Continuous | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | 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" |
| Pack Qty | 1 | 1 | 1 | Data not available | 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 |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Unit of measure 50/Pack
Delivery by Fri, Apr 03
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Unit of measure 500/Box
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Unit of measure 50/Pack
Delivery by Fri, Apr 03
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Unit of measure 100/Pack
Delivery by Fri, Apr 03
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Unit of measure 50/Pack
Delivery by Fri, Apr 03
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