$0.00
0 items
$75.00 until FREE Shipping [?]
 
OnTimeSupplies.com Logo Call us toll-free at 1-866-501-6055
No Sales Tax on Orders except GA and CASign Up to Our Mailing List

Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms

Item #: TOP50135R Rating 0.0 (no reviews, write one!)
$14.63 / PK
Buy each
$0.00 / PK
Buy in Bulk
Gov Pricing $12.35 / PK
Government Price

Delivery: 1-2 business days
Nationwide Stock: 1013 PK
QTY
List Price: $22.76 / PK,   You Save: 36%!
This item qualifies for FREE Shipping on orders over $75!
QTY
This item qualifies for FREE Shipping on orders over $75!
This item is under BPA/FSSI pricing contract.

To purchase this item for the contract price, please sign up or login as a government customer.

NOTE: Only Federal Government customers qualify for our contract pricing. State and Local agencies (e.g. city/county/state government, schools, police, etc) unfortunately do not qualify for FSSI/GSA pricing due to our contract restrictions. Individual who are purchasing items for themselves (e.g. retired military, etc.) also do not qualify for FSSI/GSA contract pricing. We verify all GSA accounts before processing orders.


Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.

Item Specifications
Brand TOPS®
Global Product Type Forms-Insurance Claim
Form Size (W x H) 8 1/2 in x 11 in
Forms Per Page [Nom] 1
Form Quantity [Nom] 250
Principal Heading(s) 1500 Health Insurance Claim Form
Layout One Form per Sheet
Printer Compatibility Laser
Paper Stock 20-lb.
Paper Color(s) White
Print and Ruling Color(s) OCR Red
Form Special Features For Laser Printers
Pre-Consumer Recycled Content Percent [Nom] 0 %
Post-Consumer Recycled Content Percent [Nom] 0 %
Total Recycled Content Percent [Nom] 0 %

Product Dimensions / Specifications
Unit of Measure PK
Item Weight 2.660 lbs
Ships via UPS? y
Carton Pack Quantity 8 PK
Pack Quantity 250 EA
This product is sold by the PK which contains 250 EA

Catalog Information
Catalog Page No.'s Everything For The Workplace 2011: Page 950
Ask a Question About This Product

Manufacturer Info
Brand TOPS®
Manufacturer Stock No. 50135R
Retail UPC 025932501357
Country of Origin US
Tariff (Inbound) Code
UNSPSC Number 14111806
Meets ANSI/BIFMA? 025932501357
Manufacturer Website www.tops-products.com
Manufacturer Phone 800-282-7261


See all TOPS® Products
Got a Question About This Product? Ask Our Experts!

Name:   E-mail:   Enter Code:     Submit Question

Average Rating: Rating 0.0  (no votes yet)

No written reviews yet for this product. Help others by writing one!
Helpful Guides and Articles see all articles
Environmentally-Friendly Office: 10 Money Saving Tips written on January 13, 2010

10 environmentally-friendly practices that are easy to implement, and proven money-savers.   read more


Where to find MSDS Sheets for office supplies? written on February 1, 2011

Looking for MSDS sheets? Find out where to get MSDS sheets for any office product.   read more


We're Here to Help!
(866) 501-6055
M-Th 9a-6p, Fr 9a-5p EST
Government/GSA Customers Environmentally Friendly Green Cleaning Products