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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
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1 Question
$34.59
250/pack
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TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11" (50135RV)~#|#~s1053550_sc7
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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 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500) Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
    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 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)~#|#~CB10C34C-990A-4982-AA7ADEE633A9E839_sc7
    Price is $146.69
    Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V)~#|#~sp38165292_sc7
    Price is $24.79
    ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
    Price is $34.09
    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
    Price is $85.89
    Reviews
    4.69
    13
    No reviews yet
    4.72
    68
    4.76
    50
    4.8
    82
    Delivery Information
    Next-Day Delivery by Mon, Feb 09
    Free delivery by Fri, Feb 13
    Next-Day Delivery by Mon, Feb 09
    Next-Day Delivery by Mon, Feb 09
    Free Next-Day eligible by Mon, Feb 09
    Available in my store
    No
    No
    Yes
    No
    No
    Medical Form Pack Size
    250
    500
    100
    250
    1000
    Medical Form Type
    Consent
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Length in Inches
    11
    Data not available
    11
    11
    11
    Width in Inches
    8.5
    Data not available
    8.5
    8.5
    8.5
    True Color
    Red and White
    White / Blue
    White / Red
    White
    White / Red
    Form Size
    8 1 / 2" x 11"
    9" x 12.5"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Data not available
    Print Type
    Continuous
    Data not available
    Data not available
    Laser
    Laser
    Number of Parts
    1
    Data not available
    1
    Data not available
    1
    Pack Qty
    1
    1
    100
    Data not available
    1000
    Series or Collection
    Centers for Medicare and Medicaid Services
    CMS-1500
    CMS-1500
    CMS-1500
    Data not available
    Next Day Delivery
    Yes
    Data not available
    Yes
    Yes
    Yes
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
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