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a TOPS 50122RV CMS-1500 Insurance Continuous Forms

TOPS 50122RV CMS-1500 Insurance 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:$116.92 for Carton
You save 38%!


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Inventory last updated: 03/27/2017 10:30pm EDT

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  • Continuous format; detached size: 8-1/2" x 11"
  • No bar ream margins
  • Printed in red OCR ink
  • 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 NameCMS-1500 Insurance 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
Recycled Content0%
Assembly RequiredNo
Certifications & Standards
  • AMA
  • NUCC
  • Champus
Print ColorRed


UPC code025932512209
Alternate code/substitutionTOP50122RV
Moore prefix and stock number
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 tops cms-1500 insurance continuous forms 20 lb 1 part 8.50" 11" form size red red print color paper 3000 / carton CMS-1500 Insurance Continuous Forms Health Insurance Form No Yes 0
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