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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", Box of 1,000 (CMS12LC1)
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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
Staples 30% Recycled File Folders, 1/3-Cut Tab, Right Position, Letter Size, Manila, 100/Box (ST116822/116822)~#|#~F2BAB565-C0D7-4E56-AF2CB432DC48759F_sc7Staples 30% Recycled File Folders, 1/3-Cut Tab, Right Position, Letter Size, Manila, 100/Box (ST116822/116822)~#|#~D53475FC-CBC7-48B3-B858A7B3366C30A3_sc7
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Delivery by Tue, Jun 09
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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", Box of 1,000 (CMS12LC1) ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) 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)
    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", Box of 1,000 (CMS12LC1)
    Price is $85.89
    ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542709_sc7
    Price is $91.89
    TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
    Price is $18.69
    TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)~#|#~43D41C18-579A-4B95-856C2FF6A9BDA1E7_sc7
    Price is $51.89
    Reviews
    4.69
    13
    4.81
    85
    4.84
    58
    4.43
    7
    4.92
    12
    Delivery Information
    Delivery by Tue, Jun 09
    Free delivery by Tue, Jun 09
    Free delivery by Mon, Jun 15
    Delivery by Tue, Jun 09
    Free delivery by Tue, Jun 09
    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
    1000
    2500
    250
    500
    Medical Form Type
    Consent
    Health Insurance Claims
    Health Insurance Claims
    Consent
    Health Insurance Claims
    True Color
    Red and White
    White / Red
    White / Red
    Red and White
    White / Red
    Print Type
    Continuous
    Laser
    Laser
    Continuous
    Laser
    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"
    Pack Qty
    1
    1000
    2500
    1
    1
    Series or Collection
    Centers for Medicare and Medicaid Services
    Data not available
    CMS-1500
    Centers for Medicare and Medicaid Services
    CMS-1500
    Next Day Delivery
    Yes
    Yes
    Data not available
    Yes
    Yes
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
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