Tops Cms-1500 Medicare/Medicaid Forms For Laser Printers, One-Part (No Copies), 8.5 X 11, 250 Forms Total

SKU: OFC-50135RV
  • 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.
  • Learn more about TOPS Products
Unit Price
Quantity
Subtotal
US$ 24.91
US$ 24.91
US$ 24.761%
2
US$ 24.671%
3
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Brand
Manufacturer
TOPS
Model#
50135RV
Assembly Required
No assembly is required
Contains Recycled Materials
N
Unit of Measure
PK
This item is sold by the
PK which contains 250 EA
Country of Origin
US
Global Product Type
Insurance Forms
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Special Features
Laser Printer Compatible
Total Recycled Content Percent
0%
Green Product
N
Carton Pack Quantity
8 PK
Pack Quantity
250 EA
Color Family
White
Paper Color(s)
White
Copy Types
One-Part (No Copies)
Form Size
8.5 x 11
Forms Per Page
1
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Printer Compatibility
Laser
Paper Stock
20 lb Bond
Dated/Undated
Undated
Upc carton
50025932513508
Form type details
CMS-1500
Format indicator
Unbound
Form quantity (total)
250
Barcode
025932513503
Description

TOPS CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Shipping specs
Weight
2.66 lbs
Shipping from
This product is shipped from our supplier's warehouse in FL, United States
Our guarantee
This product is brand new and includes the manufacturer's warranty, so you can buy with confidence.
A 25% handling charge is levied against all authorized returns except those due to our error. Unauthorized returns are subject to a 40% handling charge. Damages & defects must be reported to us within 14 days.
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