TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV)
$33.69
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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
$33.69
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
Price is $6.99
Unit of measure 4/Pack Price per unit $1.75/Marker
Delivery by Thu, Jul 17
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Over 30
Price is $13.19
Unit of measure Dozen Price per unit $1.10/Pad
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $25.99, Regular price was $30.69, You save 15%
Unit of measure 18/Pack Price per unit $1.44/Correction Tape
Delivery by Thu, Jul 17
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Over 30
Price is $16.99, Regular price was $20.59, You save 17%
Unit of measure 100/Box Price per unit $0.17/File Folder
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $6.99, Regular price was $9.49, You save 26%
Unit of measure 5/Pack Price per unit $0.01/Post-it® Note
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $0.50, Regular price was $3.09, You save 83%
Unit of measure 8/Pack Price per unit $0.06/Pencil
Delivery by Thu, Jul 17
1-hr pickup
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Staples Block Erasers, Pink, 3/Pack (10433-CC) is In-store only
Price is $1.00, Regular price was $3.79, You save 73%
Unit of measure 3/Pack Price per unit $0.33/Eraser
See alternate delivery items
1-hr pickup
Price is $1.99, Regular price was $4.29, You save 53%
Unit of measure 5/Pack Price per unit $0.40/Highlighter
Delivery by Thu, Jul 17
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Over 30
Price is $0.50, Regular price was $2.19, You save 77%
Unit of measure Dozen Price per unit $0.04/Eraser
Delivery by Thu, Jul 17
1-hr pickup
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Price is $9.99, Regular price was $12.69, You save 21%
Unit of measure Dozen Price per unit $0.83/Marker
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $15.99, Regular price was $19.49, You save 17%
Unit of measure 10/Pack Price per unit $1.60/Correction Tape
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $6.99, Regular price was $8.69, You save 19%
Unit of measure 60/Pack Price per unit $0.12/Pen
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $0.25, Regular price was $0.79, You save 68%
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $6.99, Regular price was $8.19, You save 14%
Unit of measure 4/Pack Price per unit $1.75/Correction Tape
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $9.99
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $4.29, Regular price was $7.29, You save 41%
Unit of measure 18/Pack Price per unit $0.24/Pencil
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $27.99, Regular price was $31.69, You save 11%
Unit of measure 250/Box Price per unit $0.11/File Folder
Delivery by Thu, Jul 17
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Over 30
Price is $0.55, Regular price was $2.49, You save 77%
Price per unit $0.55/Folder
Delivery by Thu, Jul 17
1-hr 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 Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | 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 $33.69 |  Price is $46.89 |  Price is $26.29 |  Price is $50.59 |  Price is $42.49 | |
| Reviews | |||||
| Delivery Information | Delivery by Thu, Jul 17 | Free delivery by Thu, Jul 24 | Delivery by Thu, Jul 24 | Free delivery by Thu, Jul 17 | Free delivery by Thu, Jul 24 |
| 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 | 500 | 250 | 500 | 500 |
| Medical Form Type | Consent | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Dental Claims |
| True Color | Red and White | White / Red | White / Red | White / Red | White |
| Print Type | Continuous | Laser | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Form Size | 8 1 / 2" x 11" | Data not available | Data not available | 8 1 / 2" x 11" | 8-1 / 2" x 11" |
| Pack Qty | 1 | 500 | 250 | 1 | Data not available |
| Series or Collection | Centers for Medicare and Medicaid Services | Data not available | Data not available | CMS-1500 | Data not available |
| Next Day Delivery | Yes | Data not available | Data not available | Yes | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $15.09
Unit of measure 50/Pack
Delivery by Tue, Jul 22
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Price is $64.19
Unit of measure 50/Pack
Free delivery by Tue, Jul 22
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Tue, Jul 22
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Price is $45.79
Unit of measure 25/Pack
Free delivery by Tue, Jul 22
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Price is $57.29
Unit of measure 50/Pack
Free delivery by Tue, Jul 22
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Price is $45.79
Unit of measure 100/Pack
Free delivery by Tue, Jul 22
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Price is $21.95
Delivery by Fri, Jul 25
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Price is $32.09
Unit of measure 100/Pack
Delivery by Tue, Jul 22
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Price is $16.79
Unit of measure 100/Pack
Delivery by Tue, Jul 22
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Price is $26.49
Unit of measure 50/Pack
Delivery by Tue, Jul 22
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Over 30
Price is $58.59
Unit of measure 50/Pack
Free delivery by Tue, Jul 22
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Tue, Jul 22
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Price is $37.89
Unit of measure 50/Pack
Free delivery by Tue, Jul 22
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Over 30
Price is $45.79
Unit of measure 100/Pack
Free delivery by Tue, Jul 22
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Tue, Jul 22
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