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
Final price is $34.59
250/pack
Free Returns
Online. In store. Always free.
Learn More
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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
Price is $18.29
Next-Day Delivery by tomorrow
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Over 30
Price is $12.19
Unit of measure 3/Pack
Delivery by Mon, Nov 03
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Over 30
Price is $19.99
Next-Day Delivery by tomorrow
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Over 30
Price is $67.79
Unit of measure 125/Pack
Free Next-Day eligible by tomorrow
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Over 30
Price is $42.19
Unit of measure 10/Box
Free Next-Day eligible by tomorrow
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Over 30
Price is $12.89
Next-Day Delivery by tomorrow
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Over 30
Price is $21.39
Delivery by Thu, Oct 30
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Over 30
Price is $59.99
Unit of measure 50/Box Price per unit $1.20/Folder
Free Next-Day eligible by tomorrow
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Over 30
Price is $23.09
Unit of measure 24/Pack Price per unit $0.96/Pen
Next-Day Delivery by tomorrow
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Over 30
Price is $13.59, Regular price was $16.99, You save 20%
Unit of measure 12/Pack Price per unit $1.13/Pad
Next-Day Delivery by tomorrow
30-min pickup
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Over 30
Price is $9.89
Next-Day Delivery by tomorrow
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Over 30
Price is $16.29
Unit of measure Dozen Price per unit $1.36/Pen
Next-Day Delivery by tomorrow
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Over 30
Price is $48.29
Unit of measure 10/Box
Free Next-Day eligible by tomorrow
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Over 30
Price is $19.19
Unit of measure 500/Ream
Next-Day Delivery by tomorrow
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Over 30
Price is $30.59
Unit of measure 100/Box Price per unit $0.31/File Folder
Next-Day Delivery by tomorrow
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Over 30
Price is $17.49
Unit of measure 500/Ream
Next-Day Delivery by tomorrow
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Price is $36.89
Unit of measure 5000/Box
Free Next-Day eligible by tomorrow
30-min pickup
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Over 30
Price is $19.69
Next-Day Delivery by tomorrow
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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) | Tabbies Patient Sign-In Sheets, 3-Part, 125/Pack (TAB14532) | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) | ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) |
|---|---|---|---|---|---|
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 $67.79 |  Price is $51.89 |  Price is $43.59 | |
| Reviews | |||||
| Delivery Information | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow | Free Next-Day eligible by tomorrow | Free Next-Day eligible by tomorrow | Free delivery by Tue, Nov 04 |
| 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 | 125 | 500 | 500 |
| Medical Form Type | Consent | Health Insurance Claims | Privacy Sign-In Sheets | Health Insurance Claims | Dental Claims |
| Print Type | Continuous | Laser | Inkjet / Laser | Laser | Laser |
| True Color | Red and White | White | Data not available | White / Red | White |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8-1 / 2" x 11" |
| Number of Parts | 1 | Data not available | 3 | 1 | 1 |
| Pack Qty | 1 | Data not available | 1 | 1 | Data not available |
| Series or Collection | Centers for Medicare and Medicaid Services | CMS-1500 | Data not available | CMS-1500 | Data not available |
| Next Day Delivery | Yes | Yes | Yes | Yes | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $16.95
Delivery by Thu, Nov 06
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Price is $20.19
Delivery by Thu, Nov 06
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Over 30
Price is $166.39
Free delivery by Thu, Nov 06
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Over 30
Price is $21.69
Delivery by Thu, Nov 06
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Price is $52.19
Unit of measure 50/Pack
Free delivery by Thu, Nov 06
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Price is $21.95
Delivery by Thu, Nov 06
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Price is $12.69
Unit of measure 50/Pack
Delivery by Mon, Nov 03
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Price is $24.99
Unit of measure 50/Pack
Delivery by Mon, Nov 03
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Over 30
Price is $57.29
Unit of measure 50/Pack
Free delivery by Mon, Nov 03
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Over 30
Price is $19.59
Delivery by Thu, Nov 06
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Price is $24.49
Unit of measure 50/Pack
Delivery by Mon, Nov 03
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Over 30
Price is $33.89
Delivery by Thu, Nov 06
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Price is $21.89
Unit of measure 25/Pack
Delivery by Mon, Nov 03
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Over 30
Price is $110.59
Free delivery by Thu, Nov 06
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Price is $52.59
Unit of measure 50/Pack
Free delivery by Mon, Nov 03
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