Cardinal Brands
Tops Cms-1500 Laser Printer Claim Forms - 1 Part - 8.50" X 11" Form Size - 500 / Pack (50126V)
- SKU:
- 18104549
- MPN:
- 50126v
- Availability:
- Usually ships the same or next business day. In stock at our AZ, CA, CO, CT, FL, GA, IL, MD, MN, NY, OH, PA, TX, WA warehouses.
- Shipping:
- Calculated at Checkout
- Stock Update:
- 03/25/2024 11:13:05 PM PST
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 $38.45 each 38.45 |
Buy 3 | and pay only $36.23 each 36.23 |
Buy 4 - 5 | and pay only $34.18 each 34.18 |
Buy 6 or above | and pay only $33.63 each 33.63 |
- Stock Update:
- 03/25/2024 11:13:05 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.Form Type Details:CMS-1500
Features
Certifications & Standards:
No
No
United States
- AMA
- NUCC
- Champus
Assembly Required:
No
Recycled:
No
Country of Origin:
United States
Specs
Physical Characteristics | |
Product Material | Paper |
Product Color | White |
Height | 9.5" |
Width | 11" |
General Information | |
Brand Name | TOPS |
Manufacturer Website Address | http://www.tops-products.com |
Marketing Information | 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 Type | Health Insurance Form |
Product Name | CMS-1500 Laser Printer Forms |
Manufacturer | TOPS Products |
Manufacturer Part Number | 50126RV |
Packaged Quantity | 500 / Pack |
Product Information | |
Print Color | Red |
Basis Weight | 20 lb |
Print Technology | Laser |
Number of Parts | 1 |
Form Length | 8.50" |
Form Width | 11" |
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)
$44.85