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a TOPS 50124RV CMS-1500 Insurance Continuous Forms

TOPS 50124RV CMS-1500 Insurance Continuous Forms

20 lb - 2 Part - Carbonless Copy - 8.50" x 11" Form Size - Red, Red Print Color - 1500 / Carton

Item # TOP50124RV

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Retail/List price: $197.22
Your price:$122.63 for Carton
You save 38%!


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Inventory last updated: 11/20/2017 6:30am EST

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  • Continuous format; detached size: 8-1/2" x 11"
  • Carbonless form features no bar ream margins
  • 2-part for an instant duplicate
  • Printed in red OCR ink without a sensor bar
  • Approved by the AMA and the National Uniform Claim Committee (NUCC)
The Manufacturer's Description Two-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. Each 20 lb. carbonless form features no bar ream margins and is printed front and back in red OCR ink. Forms come in a continuous format. Detached size is 8-1/2" x 11".


Product TypeHealth Insurance Form
Brand NameTOPS
ManufacturerTOPS Products
Product NameCMS-1500 Insurance Continuous Forms
Manufacturer Part Number50124RV
Manufacturer Website Address
Packaged Quantity1500 / Carton


Number of Parts2
Form Length8.50"
Form Width11"
Basis Weight20 lb
Carbonless CopyYes
Printed SideFront
Country of OriginUnited States
Assembly RequiredNo
Certifications & Standards
  • AMA
  • NUCC
  • Champus
Print ColorRed


UPC code025932512407
Alternate code/substitutionTOP50124RV
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,CMS-1500 Health Insurance Continuous Form 2-Part
 forms & record keeping tops 50124rv 1025748646 top50124rv top50124v 025932512407 top 50124rv 14111806 tops cms-1500 insurance continuous forms 20 lb 2 part carbonless copy 8.50" 11" form size red red print color 1500 / carton CMS-1500 Insurance Continuous Forms Health Insurance Form No
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