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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$34.59
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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11" (50135RV)~#|#~s1053550_sc7
Highlights
View all details
  • 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 AMERICA

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

Item #: 2408453Model #: 50135RV
1 Question
$34.59
250/pack
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
Price is $27.69
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Customers bought together
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11" (50135RV)~#|#~s1053550_sc7
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) is Your Product
Price is $34.59
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Price for all 4
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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) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) 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 $34.59
    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
    Price is $27.69
    TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)~#|#~43D41C18-579A-4B95-856C2FF6A9BDA1E7_sc7
    Price is $51.89
    TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
    Price is $18.69
    ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)~#|#~30211E02-A935-406B-A6832AFD0B88E088_sc7
    Price is $133.69
    Reviews
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    Delivery Information
    Next-Day Delivery by tomorrow
    Delivery by Thu, Sep 03
    Free Next-Day eligible by tomorrow
    Delivery by Mon, Aug 31
    Free delivery by Thu, Sep 03
    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
    250
    2500
    Medical Form Type
    Consent
    Health Insurance Claims
    Health Insurance Claims
    Consent
    Dental Claims
    True Color
    Red and White
    White / Red
    White / Red
    Red and White
    White
    Print Type
    Continuous
    Laser
    Laser
    Continuous
    Laser
    Pack Qty
    1
    250
    1
    1
    Data not available
    Number of Parts
    1
    1
    1
    1
    1
    Form Size
    8 1 / 2" x 11"
    Data not available
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8-1 / 2" x 11"
    Series or Collection
    Centers for Medicare and Medicaid Services
    Data not available
    CMS-1500
    Centers for Medicare and Medicaid Services
    Data not available
    Next Day Delivery
    Yes
    Data not available
    Yes
    Yes
    Data not available
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    Add To Cart
    Add To Cart
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