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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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  • 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
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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) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
    Your product
    Price is $34.59
    Reviews
    4.71
    14
    4.76
    51
    4.33
    27
    4.81
    86
    Delivery Information
    Delivery by Tue, Jul 21
    Free delivery by Wed, Jul 22
    Delivery by Tue, Jul 21
    Delivery by Wed, Jul 22
    Free delivery by Tue, Jul 21
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Pack Size
    250
    500
    250
    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
    White / Red
    White / Red
    Print Type
    Continuous
    Data not available
    Laser
    Laser
    Laser
    Form Size
    8 1 / 2" x 11"
    9" x 12.5"
    8 1 / 2" x 11"
    Data not available
    Data not available
    Pack Qty
    1
    1
    Data not available
    250
    1000
    Number of Parts
    1
    Data not available
    Data not available
    1
    1
    Series or Collection
    Centers for Medicare and Medicaid Services
    CMS-1500
    CMS-1500
    Data not available
    Data not available
    Next Day Delivery
    Yes
    Data not available
    Yes
    Data not available
    Yes
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
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