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.
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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
Page 1 of 1
Price is $73.59
Unit of measure 1000/Box Price per unit $0.07/Envelope
Free Next-Day eligible by tomorrow
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Price is $24.99
Next-Day Delivery by tomorrow
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Price is $7.19
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Price is $129.09
Unit of measure Box
Free delivery by Fri, May 22
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Price is $5.11
Delivery by Thu, May 21
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Price is $11.99
Unit of measure 6/Box
Next-Day Delivery by tomorrow
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Price is $57.79
Unit of measure 250/Carton Price per unit $0.23/Bag
Free Next-Day eligible by tomorrow
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Price is $29.99
Unit of measure Dozen Price per unit $2.50/Marker
Next-Day Delivery by tomorrow
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Price is $22.69
Unit of measure 100/Pack
Delivery by Wed, May 27
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Price is $38.79
Unit of measure 50/Box
Free Next-Day eligible by tomorrow
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Price is $50.09
Unit of measure 100/Pack Price per unit $0.50/Bag
Free Next-Day eligible by tomorrow
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Price is $205.99
Free delivery by Wed, May 27
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Price is $135.29
Unit of measure 500/Box
Free Next-Day eligible by tomorrow
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Smead Organized Up® File Pocket, Letter Size, Assorted, 5/Pack (85750) is New at Staples
Price is $11.39
Unit of measure Pack
Delivery by Thu, May 21
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Price is $14.99
Unit of measure 6/Pack Price per unit $2.50/Pad
Next-Day Delivery by tomorrow
30-min pickup
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Brother P-touch TZe-231 Laminated Label Maker Tape, 1/2" x 26-2/10', Black on White, 2/Pack (TZe-2312PK) is In-store only
Price is $27.99
Unit of measure 2/Pack Price per unit $14.00/Tape
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30-min pickup
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Price is $127.99
Unit of measure 500/Box
Free delivery by Thu, May 28
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Price is $31.09
Unit of measure 450/Pack Price per unit $0.07/Label
Next-Day Delivery by tomorrow
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Price is $24.99
Unit of measure 24/Pack Price per unit $1.04/Pen
Next-Day Delivery by tomorrow
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Price is $15.89
Unit of measure 18/Box
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) | 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) | ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411) | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) |
|---|---|---|---|---|---|
Your product TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) Price is $34.59 |  Price is $18.69 |  Price is $51.89 |  Price is $66.89 |  Price is $17.29 | |
| Reviews | |||||
| Delivery Information | Next-Day Delivery by tomorrow | Delivery by Fri, May 22 | Free Next-Day eligible by tomorrow | Free delivery by Thu, May 28 | Delivery by Thu, May 28 |
| 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 | 500 | 1000 | 100 |
| Medical Form Type | Consent | Consent | Health Insurance Claims | Dental Claims | Dental Claims |
| Print Type | Continuous | Continuous | Laser | Laser | Laser |
| True Color | Red and White | Red and White | White / Red | White | White |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| 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" |
| Pack Qty | 1 | 1 | 1 | Data not available | Data not available |
| Series or Collection | Centers for Medicare and Medicaid Services | Centers for Medicare and Medicaid Services | CMS-1500 | Data not available | Data not available |
| Next Day Delivery | Yes | Yes | Yes | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |