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, CT, FL, GA, MO, NC, NY, OH, OR, PA, TX, WI warehouses.
Shipping:
Calculated at Checkout
Stock Update:
04/08/2026 07:55:41 AM PST
$27.14
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 $23.69 each 23.69
Buy 3 and pay only $22.40 each 22.4
Buy 4 and pay only $21.68 each 21.68
Buy 5 - 6 and pay only $21.21 each 21.21
Buy 7 or above and pay only $20.10 each 20.1
Stock Update:
04/08/2026 07:55:41 AM 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)
    $27.14