TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$34.59
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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
MADE IN AMERICA
TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
Item #: 2408453Model #: 50135RV
$34.59
250/pack
Free Returns
Online. In store. Always free.
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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 $9.79
Unit of measure 50/Pack Price per unit $0.20/Cup
Next-Day Delivery by tomorrow
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Price is $87.99
Unit of measure 100/Carton Price per unit $0.88/Mailer
Free delivery by Wed, Nov 04
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Price is $34.09
Unit of measure 500/Pack
Delivery by Tue, Nov 03
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Price is $353.37
Free Next-Day eligible by tomorrow
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Price is $6.19
Unit of measure 252/Pack Price per unit $0.02/Label
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) | ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) |
|---|---|---|---|---|---|
Your product TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) Price is $34.59 |  Price is $34.09 |  Price is $24.79 |  Price is $27.69 |  Price is $19.99 | |
| Reviews | |||||
| Delivery Information | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow | Delivery by Tue, Nov 03 | Delivery by Thu, Oct 29 |
| Available in my store | No | No | Yes | 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 | 100 | 250 | 250 |
| Medical Form Type | Consent | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Consent |
| True Color | Red and White | White | White / Red | White / Red | Red and White |
| Print Type | Continuous | Laser | Data not available | Laser | Continuous |
| Pack Qty | 1 | Data not available | 100 | 250 | 1 |
| Number of Parts | 1 | Data not available | 1 | 1 | 1 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available | 8 1 / 2" x 11" |
| Series or Collection | Centers for Medicare and Medicaid Services | CMS-1500 | CMS-1500 | Data not available | Centers for Medicare and Medicaid Services |
| Next Day Delivery | Yes | Yes | Yes | Data not available | Yes |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Price is $15.99
Unit of measure 10/Pack
Delivery by Mon, Nov 02
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Price is $16.19
Delivery by Thu, Nov 05
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Price is $60.99
Unit of measure 25/Pack
Free delivery by Mon, Nov 02
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Price is $62.19
Unit of measure 25/Pack
Free delivery by Mon, Nov 02
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Price is $17.95
Delivery by Thu, Nov 05
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