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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

Item # TOP50126RV
Brand: TOPS
Status: In Stock, 358
Ships via
Logo Quick Ship -34% $47.32 /PK
Delivery: 1 - 2 business days

Save 34% over retail price of $71.47

Delivery: 1 - 2 business days

In Stock

Buy In Bulk -50% $36.04 /PK
Delivery: 7 - 10 business days

Buy 75+ for $36.04/PK

Save 50% over retail price of $71.47

Delivery: 7 - 10 business days

Must buy in multiples of 5
Save 29% over Office Depot price of $66.49
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Frequently Purchased With

TOP50126RV - CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total
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BICWOC12WE - Cover-It Correction Fluid, 20 ml Bottle, White

Product Details

Product Highlights
  • 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.

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: 500; Principal Heading(s): 1500 Health Insurance Claim Form.

Product Specifications

Dimensions / Specifications
Unit of Measure PK
Item Dimensions 8.50 in. x 2.20 in. x 11.00 in. (W x H x D)
Item Weight 5.193 lbs
Carton Pack Quantity 5 PK
Carton Pack Dimensions 9.00 in. x 11.38 in. x 11.38 in. (W x H x D)
Carton Pack Weight 27.500 lbs
Pack Quantity 500 EA
This item is sold by the PK which contains 500 EA
Shipping Info
Can Ship via UPS? Yes
Can Ship via Air Carrier? Yes
Hazmat restrictions? No
Additional Information
Is Certified with EPA/CPG? No
Considered Green (less environmental impact)? No
Made of Some or All Recycled Materials? No
Warranty Offered? No
Underwriter's Laboratory Approval? No
Item Specifications
Brand TOPS
Global Product Type Forms-Insurance
Printer Compatibility Laser
Principal Heading(s) 1500 Health Insurance Claim Form
Form Size 8.5 x 11
Forms Per Page 1
Form Quantity 500
Layout One Form per Sheet
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%
Special Features For Laser Printers
Manufacturer Info
Brand TOPS
Warranty Offered? n
Manufacturer Stock No. 50126RV
Staples Equivalent SKU 309934
Quill Equivalent SKU 50126RV
Office Max Equivalent SKU 25324845
Office Depot Equivalent SKU 561809
Retail GTIN (UPC) 00025932512605
Country of Origin US
UNSPSC Number 00141118
Product ID 9472515

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