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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) TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V)
    Your product
    Price is $34.59
    Reviews
    4.69
    13
    No reviews yet
    4.92
    12
    4.76
    51
    4.72
    68
    Delivery Information
    Delivery by Mon, Mar 02
    Free delivery by Fri, Mar 06
    Free delivery by Mon, Mar 02
    Delivery by Mon, Mar 02
    Delivery by Mon, Mar 02
    Available in my store
    No
    No
    No
    No
    Yes
    Medical Form Pack Size
    250
    500
    500
    250
    100
    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 / Red
    White
    White / Red
    Form Size
    8 1 / 2" x 11"
    9" x 12.5"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Print Type
    Continuous
    Data not available
    Laser
    Laser
    Data not available
    Number of Parts
    1
    Data not available
    1
    Data not available
    1
    Pack Qty
    1
    1
    1
    Data not available
    100
    Series or Collection
    Centers for Medicare and Medicaid Services
    CMS-1500
    CMS-1500
    CMS-1500
    CMS-1500
    Next Day Delivery
    Yes
    Data not available
    Yes
    Yes
    Yes
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
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