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
$34.59
250/pack
Free Returns
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Price is $8.59
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 4
Price is $5.11
Delivery by Fri, Apr 03
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Price is $7.19
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Price is $178.29
Unit of measure 1000/Pack
Free delivery by Mon, Apr 06
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Price is $147.39
Unit of measure 250/Pack
Free delivery by Wed, Apr 01
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Price is $25.19
Delivery by Mon, Apr 06
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Compare similar items
| Attributes | TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) | Adams Health Insurance Claims (CMS1500CV) | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) |
|---|---|---|---|---|---|
Your product TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) Price is $34.59 |  Price is $8.59 |  Price is $51.89 |  Price is $27.69 |  Price is $18.69 | |
| Reviews | |||||
| Delivery Information | Pick up in 30 minutes | Pick up in 30 minutes | Free delivery by Wed, Apr 01 | Delivery by Tue, Apr 07 | Delivery by Wed, Apr 01 |
| Available in my store | Yes | Yes | No | No | No |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 9.5 | 9.5 | 8.5 | 8.5 | 8.5 |
| Medical Form Pack Size | 100 | 100 | 500 | 250 | 250 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Consent |
| True Color | White | White | White / Red | White / Red | Red and White |
| Print Type | Data not available | Data not available | Laser | Laser | Continuous |
| Number of Parts | Data not available | Data not available | 1 | 1 | 1 |
| Form Size | 9 1 / 2" x 11" | 9 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available | 8 1 / 2" x 11" |
| Pack Qty | 100 | 100 | 1 | 250 | 1 |
| Series or Collection | ADA | ADA | CMS-1500 | Data not available | Centers for Medicare and Medicaid Services |
| Next Day Delivery | Data not available | Data not available | Yes | Data not available | Yes |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Unit of measure 5000/Carton
Free delivery by Wed, Apr 01
30-min pickup
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Unit of measure 4000/Carton
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Unit of measure 500/Box
Free delivery by Mon, Apr 06
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Price is $51.99, Regular price was $61.59, You save 15%
Unit of measure 5000/Carton
Free delivery by Wed, Apr 01
30-min pickup
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Price is $20.79
Unit of measure 50/Pack
Delivery by Mon, Apr 06
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