OnTimeSupplies.com
FREE Shipping on all orders over $75!
P: 1-866-501-6055   C:
View Cart
$0.00
0 items
A:
Welcome. Sign In
My Account ▼
 
Buy HP OEM TonerOrder Custom Stamps

Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms

Temporary Price Cut!
TOP50124RV Thumbnail 1
Share: E-mail Facebook Google+ Twitter
Item #: TOP50124RV   by TOPS™
Made in USA
$128.04 USD/CT
Buy each
Ships via UPS FREE Shipping on Orders over $75!

Delivery in 1 - 2 business days
Nationwide Stock: 48 CT

Ordering over $500? Need larger quantities?
Use our Bulk Request Form
Compare Us to Big Box Retailers!
Office Depot $143.99 + shipping checked on 12/08/16
Staples $167.99 + shipping checked on 12/08/16
*Disclaimer

This product is also available in...


Customer who bought this item also bought


Product Details

Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 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.

Ask a Question About This Product TOPS™ Products
See all TOPS™ Products

Item Specifications
Brand TOPS™
Global Product Type Forms-Insurance
Form Size 8 1/2 x 11
Forms Per Page 1
Form Quantity 1500
Principal Heading(s) 1500 Health Insurance Claim Form
Layout One Form per Sheet
Copy Types Two-Part Carbonless
Punching Dot Matrix Pin Feed Holes
Printer Compatibility Dot Matrix
Paper Stock 20-lb.
Paper Color(s) White
Print and Ruling Color(s) OCR Red
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
Footnote 1 Carbonless Duplicate
Special Features Carbonless Duplicate

Dimensions / Specifications
Unit of Measure CT
Item Weight 31.000 lbs
Ships via UPS? y
Carton Pack Quantity 1500 ST
This item is sold by the CT which contains 1500 ST

Catalog Information
Catalog Page No.'s EVERYTHING FOR THE WORKPLACE 2014: Page 967
EVERYTHING FOR THE WORKPLACE 2015: Page 983
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2015: Page 983
EVERYTHING FOR THE WORKPLACE NON-VIRTUAL 2016: Page 979

Manufacturer Info
Brand TOPS™  (website)
Brand Contact 800-282-7261
Manufacturer Stock No. 50124R
Retail UPC 025932512407
Country of Origin US
Tariff (Inbound) Code
UNSPSC Number 14111806
Meets ANSI/BIFMA? 025932512407
OTS Product ID 9472549

Ask a Question

This is an alert
Your Name:

Your E-mail:


Your Location (optional):

Your Industry / Type of Business (optional):


Ask Question!
Most questions are answered within a couple hours during business hours.
If you need immediate assistance, please call us at 1-866-501-6055!

Your question has been submitted!

Our customer service reps will find an answer for your question and send you an e-mail. Most questions are answered in a couple of hours; however, some questions may require more research and it may take us longer to respond to you. If you'd like immediate assistance, please call us toll-free at 1-866-501-6055!

This is an alert
Your Name:

Your E-mail:


Your Location (optional):

Your Industry / Type of Business (optional):


Submit Answer!

Your answer has been submitted!

Thank you for submitting an answer this question! We will let the asker know about your answer and post it on our site in a few hours. All answers are moderated by our customer service staff and may be formatted for better presentation on the web.

Customer Questions


Reviews

Average Rating: Rating 0.0  (no votes yet)

No written reviews yet for this product. Help others by writing one!
Join Our Mailing List! Connect With Us Social Media Facebook Google+ Twitter Blog Linked In
Badges HP Authorized Reseller
Inc 500 BBB Digicert GSA Paypal and Credit Cards
Discount Office Supplies Reference - SKU: TOP50124RV - Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms by TOPS™
Copyright © 2016 OnTimeSupplies.com, an Office Supplies company. P.O. Box 888016, Atlanta, GA 30356.
Report an Issue