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a TOPS 50122RV 1-part CMS-1500 Continuous Forms

TOPS 50122RV 1-part CMS-1500 Continuous Forms

20 lb - 1 Part - 8.50" x 11" Form Size - Red, Red Print Color - Paper - 3000 / Carton

Item # TOP50122RV

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Retail/List price: $189.86
Your price:$119.48 for Carton
You save 37%!


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Inventory last updated: 11/17/2017 8:00pm EST

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  • Printed in red OCR ink
  • No bar ream margins
  • Continuous format; detached size: 8-1/2" x 11"
  • Approved by the AMA and the National Uniform Claim Committee (NUCC)
The Manufacturer's Description One-part 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. One-part forms come in a continuous format with no bar ream margins and are printed on the front and back with red OCR ink. Detached size of the 20 lb. paper is 8-1/2" x 11".


Product TypeHealth Insurance Form
Brand NameTOPS
ManufacturerTOPS Products
Product Name1-part CMS-1500 Continuous Forms
Manufacturer Part Number50122RV
Manufacturer Website Address
Packaged Quantity3000 / Carton


Number of Parts1
Form Length8.50"
Form Width11"
Environmentally FriendlyYes
Basis Weight20 lb
Printed SideFront
Country of OriginUnited States
Assembly RequiredNo
Certifications & Standards
  • AMA
  • NUCC
  • Champus
Print ColorRed


UPC code025932512209
Alternate code/substitutionTOP50122RV
Moore prefix and stock number
Package Weight32
Package Height11.9
Package Length11.3
Package Width9.8
Product Classification CodeEFAA
Country of OriginUS
Ready to AssembleN
Recommended substitutions
Old item number
Minority/Women-Owned/Challenged Vendor
Old item number
Special order itemN
Relevant TermsTops,Forms,Personnel Forms,One-part CMS-1500 1-part Medical Payment Services Continuous Forms
 forms & record keeping tops 50122rv 1025748645 top50122rv top50122v 025932512209 top 50122rv 14111806 tops 1-part cms-1500 continuous forms 20 lb 1 part 8.50" 11" form size red red print color paper 3000 / carton 1-part CMS-1500 Continuous Forms Health Insurance Form No Yes
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