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TOPS CMS-1500 Laser Printer Forms, 20 lb, 1 Part, 8.50" x 11" Form Size, White, Red Print Color, Paper, 500 / Pack

Item # TOP50126RV
Brand: TOPS
Ships via
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Save 11% over Staples price of $51.89

Delivery: 2 - 3 business days

In Stock

479 Available
Must buy in multiples of 5
Qty Price
20+ $37.12 /PK 7 - 10 business days
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Product Details

Product Highlights
  • Approved by the AMA and the National Uniform Claim Committee (NUCC)
  • Printed in red OCR ink without a sensor bar
  • Compatible with laser printers
  • Detached size: 8-1/2" x 11"

CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".

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 5.400 lbs
Carton Pack Quantity 2500 EA
Carton Pack Dimensions 9.00 in. x 11.38 in. x 0.00 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
Considered Green (less environmental impact)? No
Made of Some or All Recycled Materials? No
Item Specifications
Manufacturer TOPS Products
Manufacturer Part Number 50126RV
Product Name CMS-1500 Laser Printer Forms
Packaged Quantity 500 / Pack
Product Type Health Insurance Form
Basis Weight 20 lb
Form Length 8.50"
Form Width 11"
Number of Parts 1
Print Color Red
Print Technology Laser
Color Family White
Product Color White
Product Material Paper
Height 9.5"
Width 11"
Certifications & Standards AMA, NUCC, Champus
Recycled No
Assembly Required No
Country of Origin United States
Manufacturer Info
Brand TOPS  (website)
Brand Contact 800-282-7261
Manufacturer SKU 50126RV
Retail GTIN (UPC) 00025932512605
Country of Origin US
UNSPSC Number 14111806
Product ID 9472515

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