Cardinal Brands

Tops Cms-1500 Health Insurance Forms - 8.50" X 11" Sheet Size - White - 250 / Pack (50135rv)

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SKU:
18076874
MPN:
50135rv
Availability:
Usually ships the same or next business day. In stock at our AZ, CA, CO, GA, IN, MD, MI, MN, MO, NC, NH, NJ, NY, OH, OK, TX, UT, VA, WA warehouses.
Shipping:
Calculated at Checkout
Stock Update:
03/12/2026 07:46:37 PM PST
$35.18
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 $28.36 each 28.36
Buy 3 and pay only $25.37 each 25.37
Buy 4 and pay only $24.14 each 24.14
Buy 5 - 8 and pay only $23.40 each 23.4
Buy 9 or above and pay only $21.88 each 21.88
Stock Update:
03/12/2026 07:46:37 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):250
  • Form Quantity (Total):250
    • 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:   
    • CMS
    • NUCC
    • OMB

     

    Assembly Required:   
    No

     

    Recycled:   
    No

     

    Country of Origin:   
    United States

     

    Specs

    General Information
    Brand NameTOPS
    Manufacturer Website Addresshttp://www.tops-products.com
    Marketing InformationHealth insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.
    Product TypeHealth Insurance Form
    Product NameCMS-15000 Health Insurance Claim Forms
    ManufacturerTOPS Products
    Manufacturer Part Number50135RV
    Packaged Quantity1 Pack
    Product Information
    Print ColorRed
    Basis Weight20 lb
    Print TechnologyLaser
    Sheet ColorWhite
    Sheet Size11" Width x 8.50" Length

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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 Health Insurance Forms - 8.50" X 11" Sheet Size - White - 250 / Pack (50135rv)
    $35.18