Cardinal Brands

Tops Cms-1500 Laser Printer Claim Forms - 1 Part - 8.50" X 11" Form Size - 500 / Pack (50126V)

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SKU:
18104549
MPN:
50126v
Availability:
Usually ships the same or next business day. In stock at our AZ, CA, CO, FL, GA, IL, MN, NC, NJ, NY, OH, PA, TN, TX, UT, WA warehouses.
Shipping:
Calculated at Checkout
Stock Update:
04/24/2024 11:16:00 PM PST
$45.05
Buy more, get it as low as $

Bulk discount rates

Below are the available bulk discount rates for each individual item when you purchase a certain amount

Buy 2 and pay only $38.70 each 38.7
Buy 3 and pay only $36.48 each 36.48
Buy 4 - 5 and pay only $34.43 each 34.43
Buy 6 or above and pay only $33.88 each 33.88
Stock Update:
04/24/2024 11:16:00 PM PST

Description



This item is brand-new, factory sealed.

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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
  • 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.

    • Form Type Details:CMS-1500
  • Form Type Details:CMS-1500
    • Global Product Type:Insurance Forms
  • Global Product Type:Insurance Forms
    • Global Product Type:Insurance Forms
  • Global Product Type:Insurance Forms
    • Global Product Type:Insurance Forms
  • Global Product Type:Insurance Forms
    • Global Product Type:Insurance Forms
  • Global Product Type:Insurance Forms
    • Dated/Undated:Undated
  • Dated/Undated:Undated
    • Forms Per Page:1
  • Forms Per Page:1
    • Form Size:8.5 x 11
  • Form Size:8.5 x 11
    • Format Indicator:Unbound
  • Format Indicator:Unbound
    • Form Quantity (Total):500
  • Form Quantity (Total):500
    • Copy Types:One-Part (No Copies)
  • Copy Types:One-Part (No Copies)
    • Principal Heading(s):1500 Health Insurance Claim Form
  • Principal Heading(s):1500 Health Insurance Claim Form
    • Paper Color(s):White
  • Paper Color(s):White
    • Color Family:White
  • Color Family:White
    • Printer Compatibility:Laser
  • Printer Compatibility:Laser
    • Paper Stock:20 lb Bond
  • Paper Stock:20 lb Bond
    • Print and Ruling Color(s):OCR Red
  • Print and Ruling Color(s):OCR Red
    • Product Biodegradability in Days:0
  • Product Biodegradability in Days:0
    • Pre-Consumer Recycled Content Percent:0%
  • Pre-Consumer Recycled Content Percent:0%
    • Post-Consumer Recycled Content Percent:0%
  • Post-Consumer Recycled Content Percent:0%
    • Total Recycled Content Percent:0%
  • Total Recycled Content Percent:0%
    • Special Features:Laser Printer Compatible
  • Special Features:Laser Printer Compatible

    • Features

    Certifications & Standards:   
    • AMA
    • NUCC
    • Champus

     

    Assembly Required:   
    No

     

    Recycled:   
    No

     

    Country of Origin:   
    United States

     

    Specs

    Physical Characteristics
    Product MaterialPaper
    Product ColorWhite
    Height9.5"
    Width11"
    General Information
    Brand NameTOPS
    Manufacturer Website Addresshttp://www.tops-products.com
    Marketing InformationCMS-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 TypeHealth Insurance Form
    Product NameCMS-1500 Laser Printer Forms
    ManufacturerTOPS Products
    Manufacturer Part Number50126RV
    Packaged Quantity500 / Pack
    Product Information
    Print ColorRed
    Basis Weight20 lb
    Print TechnologyLaser
    Number of Parts1
    Form Length8.50"
    Form Width11"

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    Warranty Information

    All Items are Brand New, Factory Sealed and come with a standard warranty. [Read our policies]
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    Tops Cms-1500 Laser Printer Claim Forms - 1 Part - 8.50" X 11" Form Size - 500 / Pack (50126V)
    $45.05