TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 1/Page, 250 Forms/Pack (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.
$20.62 $39.40
IN STOCK
Product#: 50135RV
EXPIDITED SHIPPING - Estimated Delivery Thu 11/30
TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack (50126RV)
$37.83 $71.47
TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 1/Page, 3,000 Forms/Carton (50122RV)
$123.46 $239.97
Brother TN420 Toner, 1,200 Page-Yield, Black
$39.99 $51.07
Top Sellers
Compatible Brother TN420 Toner, 1,200 Page-Yield, Black
$10.20 $11.56
Top Sellers
Compatible HP 201X, (CF400X) High-Yield Black Original LaserJet Toner Cartridge
$33.60 $38.08
Business Source Chisel Point Standard Staples (65649)
$0.88 $4.55
Business Source No. 10 White Business Envelopes (42250)
$19.58 $80.98
Business Source No. 9 Double Window Invoice Envelopes (36680)
$42.58 $172.57
Business Source Steno Notebook (26740)
$2.20 $6.40
Hammermill Colors Print Paper, 20lb, 8.5 x 11, Canary, 500/Ream (103341)
$8.83 $30.76
Integra Pen Style Fluorescent Highlighters (36180)
$1.36 $4.49
Kleenex Multi-Fold Paper Towels, 9 1/5 x 9 2/5, White, 150/Pack, 16 Packs/Carton (01890)
$40.35 $111.64
Pendaflex Manila End Tab Expansion Folders with Two Fasteners, 14-pt., 2-Ply Straight Tabs, Letter Size, 50/Box (H10U13)
$40.62 $84.35
Post-it Pop-up Notes Original Canary Yellow Pop-Up Refill, Lined, 3 x 3, 100-Sheet, 6/Pack (R335YW)
$8.15 $15.40
Quality Park Redi-Seal Insurance Claim Form Envelope, Cheese Blade Flap, Redi-Seal Closure, 9 x 12.5, White, 100/Box (54692)
$59.19 $167.18
Quality Park Security Tinted Insurance Claim Form Envelope, Commercial Flap, Gummed Closure, 4.5 x 9.5, White, 500/Box (21432)
$90.08 $231.55
Wrigley's's's Wrigley's's LifeSavers 5 Flavors Hard Candies (08501)
$2.63 $4.52
Zebra Z-Grip Ballpoint Pen, Retractable, Medium 1 mm, Black Ink, Clear Barrel, Dozen (22210)
$4.69 $8.31
Sharpie Industrial Permanent Marker, Fine Bullet Tip, Black, Dozen (13601)
$11.86 $23.98
Product Description
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. For Laser Printers. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.
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.
Product Specification
| Manufacturer | TOPS |
|---|---|
| Categories | TOPS Office SuppliesTOPS Forms, Recordkeeping & Reference MaterialsTOPS Forms |
| Manufacturer Stock No. | 50135RV |
| MPN | TOP50135RV |
| Model# | 50135RV |
| UPC Code | 025932513503 |
| UNSPSC Code | 0 |
| Form Quantity | 250 |
| Form Size | 8.5 x 11 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance |
| Layout | One Form per Sheet |
| Paper Color(s) | White |
| Paper Stock | 20 lb |
| 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 | For Laser Printers |
| Total Recycled Content Percent | 0% |
| 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 |
| Brand | TOPS |
| Country of Origin | US |
| UNSPSC Number | 14111806 |
