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.
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 $40.39
Unit of measure 100/Pack
Free delivery by Tue, Sep 02
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Price is $12.59
Unit of measure 250/Pack
Delivery by Tue, Sep 02
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Over 30
Price is $101.19
Unit of measure 10/Box
Free delivery by Tue, Sep 02
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Over 30
Price is $34.49
Unit of measure 500/Box Price per unit $0.07/Envelope
Delivery by Tue, Sep 02
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Over 30
Price is $21.39
Unit of measure 500/Pack
Delivery by Thu, Sep 04
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Over 30
Price is $10.99
Unit of measure 100/Box Price per unit $0.11/Glove
Delivery by Tue, Sep 02
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Over 30
Price is $5.89
Unit of measure 252/Pack Price per unit $0.02/Label
Delivery by Tue, Sep 02
30-min pickup
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Over 30
Price is $45.09
Free delivery by Tue, Sep 02
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Staples TECH 6-Outlet Surge Protector, 12', 1800 Joules, White (ST62768)Â is New at Staples
Price is $26.99
Delivery by Tue, Sep 02
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Over 30
Price is $39.59
Free delivery by Tue, Sep 02
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Over 30
Price is $55.99
Unit of measure 5/Box
Free delivery by Thu, Sep 04
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Over 30
Price is $11.59
Unit of measure 100/Pack Price per unit $0.12/Cup
Delivery by Tue, Sep 02
30-min pickup
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Over 30
Price is $30.23, Regular price was $37.79, You save 20%
Unit of measure 9/Pack Price per unit $3.36/Roll
Delivery by Tue, Sep 02
30-min pickup
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Over 30
Price is $19.19
Unit of measure 6/Pack Price per unit $0.03/Sheet
Delivery by Tue, Sep 02
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Price is $47.29
Unit of measure 100/Pack Price per unit $0.47/Bag
Free delivery by Tue, Sep 02
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Price is $5.09
Unit of measure 32/Pack
Delivery by Tue, Sep 02
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Over 30
Price is $6.99
Unit of measure 4/Pack Price per unit $1.75/Marker
Delivery by Tue, Sep 02
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Over 30
Price is $22.89
Delivery by Tue, Sep 02
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Price is $23.48
Delivery by Tue, Sep 02
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Price is $14.29
Unit of measure 50/Pack
Delivery by Wed, Sep 10
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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) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | 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 $33.69 |  Price is $33.19 |  Price is $24.79 |  Price is $46.89 |  Price is $50.59 | |
| Reviews | |||||
| Delivery Information | Delivery by Tue, Sep 02 | Delivery by Tue, Sep 02 | Delivery by Tue, Sep 02 | Free delivery by Mon, Sep 08 | Free delivery by Tue, Sep 02 |
| Available in my store | No | No | Yes | 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 | 100 | 500 | 500 |
| Medical Form Type | Consent | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| True Color | Red and White | White | White / Red | White / Red | White / Red |
| Print Type | Continuous | Laser | Data not available | Laser | Laser |
| Number of Parts | 1 | Data not available | 1 | 1 | 1 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available | 8 1 / 2" x 11" |
| Pack Qty | 1 | Data not available | 100 | 500 | 1 |
| Series or Collection | Centers for Medicare and Medicaid Services | CMS-1500 | CMS-1500 | Data not available | CMS-1500 |
| Next Day Delivery | Yes | Yes | Yes | Data not available | Yes |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $79.69
Unit of measure 500/Box
Free delivery by Fri, Sep 05
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Price is $49.59
Unit of measure 250/Box
Free delivery by Fri, Sep 05
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Price is $14.39
Unit of measure 50/Pack
Delivery by Fri, Sep 05
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Price is $17.39
Unit of measure 50/Pack
Delivery by Fri, Sep 05
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Price is $66.29
Unit of measure 50/Pack
Free delivery by Fri, Sep 05
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Price is $56.19
Free delivery by Wed, Sep 10
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Price is $57.29
Free delivery by Wed, Sep 10
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Price is $33.29
Delivery by Wed, Sep 10
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Price is $25.89
Unit of measure 50/Pack
Delivery by Fri, Sep 05
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Price is $31.09
Unit of measure 100/Pack
Delivery by Fri, Sep 05
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Over 30
Price is $19.59
Delivery by Wed, Sep 10
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Over 30
Price is $60.79
Unit of measure 50/Pack
Free delivery by Fri, Sep 05
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Over 30
Price is $52.19
Unit of measure 50/Pack
Free delivery by Wed, Sep 10
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Over 30
Price is $29.29
Delivery by Wed, Sep 10
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Price is $11.59
Delivery by Wed, Sep 10
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