Your Shopping Cart
TOPS CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total (50135RV)
TOPS CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total (50135RV)
Regular price
$21.60
Regular price
Sale price
$21.60
Unit price
per
Type : Office Supplies
SKU : TOP50135RV
Tags : All, Forms, Office Supplies, TOPS,
Collections : All products, Forms, Office Supplies, TOPS,
Availability : In Stock
Couldn't load pickup availability
Shipping & Returns
Shipping & Returns
Returns available on all orders
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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
Features
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.
Manufacturer
Categories
MPN
TOP50135RV
Model#
50135RV
UPC Code
025932513503
UNSPSC Code
0
Copy Types
One-Part (No Copies)
Dated/Undated
Undated
Form Size
8.5 x 11
Forms Per Page
1
Global Product Type
Paper Color(s)
White
Paper Stock
20 lb Bond
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Printer Compatibility
Laser
Special Features
Laser Printer Compatible
Total Recycled Content Percent
0%
Color Family
White
Form Type Details
CMS-1500
Format Indicator
Unbound
Form Quantity (Total)
250
Assembly Required
No assembly is required
Contains Recycled Materials
N
Green Product
N
Unit of Measure
PK
Item Weight
2.66
Ships via UPS
Y
Carton Pack Quantity
8 PK
Pack Quantity
250 EA
This item is sold by the
PK which contains 250 EA
GTIN Item
025932513503
UPC Retail
025932513503
UPC Carton
50025932513508
Brand
TOPS
Manufacturer Stock No.
50135RV
Country of Origin
US
UNSPSC Number
14111806
