Home » Office Equipment & Supplies » Supplies » Forms & Record Keeping » 50124R

Tops Two-part Cms-1500 Forms - 2 Part - Carbonless - 11" X 8.50" Sheet... 

9 in stock (as of 12/03/2016 08:28 AM)

Shipping Estimate:
Qualifies for FREE Shipping!
Within the Continental USA
Tops Two-part Cms-1500 Forms - 2 Part - Carbonless - 11" X 8.50" Sheet Size - White - 1500 / Carton (50124R)
Zoom panel loading...


Additional Images:   Medium | Original | 900 | 1100
Added to our catalog within last 30 days
Model: 50124R
View other products from Cardinal Brands

$119.55
Estimated Shipping: FREE

Description

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. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 1500; Principal Heading(s): 1500 Health Insurance Claim Form.
  • 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.
  • Features

    Recycled: No

    Recycled Content: 0%

    Post-consumer-waste%: 0%

    Assembly Required: No

    Country of Origin: United States

    Specification

    General Information
    ManufacturerTOPS Products
    Manufacturer Part Number50124R
    Manufacturer Website Addresshttp://www.tops-products.com
    Brand NameTOPS
    Product NameTwo-part CMS-1500 Forms
    Marketing Information

    Two-part CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the AMA Council of Medical Service. Forms come in a continuous format.

    Packaged Quantity1500 / Carton
    Product TypeClaim Form
    Product Information
    Sheet Size8.50" Width x 11" Length
    Sheet ColorWhite
    Number of Parts2
    Carbonless CopyYes
    Print ColorRed
    Title
    ProductTitleTOPS Two-part CMS-1500 Forms - 2 Part - Carbonless Copy - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 1500 / Carton

    Warranty Information

    Beach Audio Warranty

    This product was added to our catalog on Sunday, December 04, 2016.

    Code:35-50124r

    NetSuite ecommerce design

    © 2014 Beach Audio, Inc. All Rights Reserved