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TOPS 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: 26.16 USD
Availability: InStock
Rating: 5.0 (1 reviews)

Item # TOP50135RV

Brand: TOPS

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Save 17% over Staples price of $31.69

Delivery: 1 - 2 business days

In Stock

552 Available

Qty	Price
8+	$25.11 /PK	1 - 2 business days
37+	$21.25 /PK	1 - 2 business days

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250 Forms Total $26.16

500 Forms Total $50.21

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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

PFX59203 - SureHook Reinforced Extra-Capacity Hanging Box File, 1 Section, 3" Capacity, Letter Size, 1/5-Cut Tabs, Blue, 25/Box

Subtotal

This Item: CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total $26.16/PK
Handwrite-Only Self-Adhesive "See Through" Removable Round Color Dots, 0.25" dia, Assorted, 216/Sheet, 4 Sheets/Pack, (5796) $7.41/PK View Item
Open-Side Security Tint Business Envelope, 1 Window, #10, Commercial Flap, Gummed Closure, 4.13 x 9.5, White, 500/Box $46.73/BX View Item
SureHook Reinforced Extra-Capacity Hanging Box File, 1 Section, 3" Capacity, Letter Size, 1/5-Cut Tabs, Blue, 25/Box $99.63/BX View Item

Product Details

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.

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 25
This item is sold by the PK which contains 250 25

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
Form Type Details	CMS-1500
Global Product Type	Insurance Forms
Dated/Undated	Undated
Forms Per Page	1
Form Size	8.5 x 11
Format Indicator	Unbound
Form Quantity (Total)	250
Copy Types	One-Part (No Copies)
Principal Heading(s)	1500 Health Insurance Claim Form
Paper Color(s)	White
Color Family	White
Printer Compatibility	Laser
Paper Stock	20 lb Bond
Print and Ruling Color(s)	OCR Red
Product Biodegradability in Days	0
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%
Special Features	Laser Printer Compatible

Manufacturer Info
Brand	TOPS (website)
Brand Contact	800-282-7261
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	14111806
Product ID	9472507