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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Name: CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Brand: TOPS
SKU: TOP50135RV
Price: 24.83 USD
Availability: InStock
Rating: 5.0 (1 reviews)

Item # TOP50135RV

Brand: TOPS

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Status: In Stock, 716

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Quick Ship -37% $24.83 /PK

Delivery: 1 - 2 business days

Save 37% over retail price of $39.40

Delivery: 1 - 2 business days

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Buy In Bulk -50% $19.88 /PK

Delivery: 7 - 10 business days

Buy 136+ for $19.88/PK

Save 50% over retail price of $39.40

Delivery: 7 - 10 business days

Must buy in multiples of 8

Save 17% over Staples price of $29.99

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CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total $24.83

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Frequently Purchased With

TOP50135RV - CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

AVE05796 - Handwrite-Only Self-Adhesive "See Through" Removable Round Color Dots, 0.25" dia, Assorted, 216/Sheet, 4 Sheets/Pack, (5796)

UNV35203 - Open-Side Security Tint Business Envelope, 1 Window, #10, Commercial Flap, Gummed Closure, 4.13 x 9.5, White, 500/Box

UNV00116 - Rubber Bands, Size 16, 0.04" Gauge, Beige, 1 lb Box, 1,900/Pack

Subtotal

This Item: CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total $24.83/PK
Handwrite-Only Self-Adhesive "See Through" Removable Round Color Dots, 0.25" dia, Assorted, 216/Sheet, 4 Sheets/Pack, (5796) $7.31/PK View Item
Open-Side Security Tint Business Envelope, 1 Window, #10, Commercial Flap, Gummed Closure, 4.13 x 9.5, White, 500/Box $45.18/BX View Item
Rubber Bands, Size 16, 0.04" Gauge, Beige, 1 lb Box, 1,900/Pack $5.68/PK View Item

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

Product Specifications

Dimensions / Specifications
Unit of Measure	PK
Item Dimensions	8.50 in. x 1.10 in. x 11.00 in. (W x H x D)
Item Weight	2.660 lbs
Carton Pack Quantity	8 PK
Carton Pack Dimensions	9.00 in. x 8.75 in. x 11.25 in. (W x H x D)
Carton Pack Weight	21.130 lbs
Pack Quantity	250 EA
This item is sold by the PK which contains 250 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	250
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.	50135RV
Staples Equivalent SKU	2408453
Quill Equivalent SKU	50135RV
Office Depot Equivalent SKU	562817
Retail GTIN (UPC)	00025932513503
Country of Origin	US
UNSPSC Number	00141118
Product ID	9472507