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a TOPS 50126RV CMS-1500 Laser Printer Claim Forms
   

TOPS 50126RV CMS-1500 Laser Printer Claim Forms

20 lb - 1 Part - 8.50" x 11" Form Size - Red Print Color - Paper - 500 / Pack

Item # TOP50126RV

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Retail/List price: $45.28
Your price:$35.92 for Pack
You save 21%!
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Inventory last updated: 12/07/2016 3:45am EST

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  • Printed in red OCR ink without a sensor bar
  • Approved by the AMA and the National Uniform Claim Committee (NUCC)
  • Compatible with laser printers
  • Detached size: 8-1/2" x 11"
The Manufacturer's Description 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. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".

MAIN FEATURES


Product TypeHealth Insurance Form
Brand NameTOPS
ManufacturerTOPS Products
Product NameCMS-1500 Laser Printer Claim Forms
Manufacturer Part Number50126RV
Manufacturer Website Addresshttp://www.tops-products.com
Packaged Quantity500 / Pack

OTHER FEATURES


Number of Parts1
Form Length8.50"
Form Width11"
Basis Weight20 lb
Country of OriginUnited States
RecycledNo
Recycled Content0%
Post-consumer-waste%0%
Assembly RequiredNo
Height9.5"
Width11"
ColorWhite
Certifications & Standards
  • AMA
  • NUCC
  • Champus
Print ColorRed
Print TechnologyLaser
MaterialPaper

ADDITIONAL CHARACTERISTICS


UPC code025932512605
Alternate code/substitutionTOP50126RV
Moore prefix and stock number
Weight5.4
Height2.2
Length11
Width8.5
Product Classification CodeEFAA
Country of OriginUS
Ready to AssembleN
RecycledN
UPS-ableY
Recommended substitutions
Old item number
Minority/Women-Owned/Challenged Vendor
Old item number
Non-returnableN
Special order itemN
Relevant TermsTops,Forms,Personnel Forms,CMS-1500 Medicare Medicaid Payment Laser Printer Forms
 forms & record keeping tops 50126rv 1025748647 top50126rv top50126v 025932512605 top 50126rv tops cms-1500 laser printer claim forms 20 lb 1 part 8.50" 11" form size red print color paper 500 / pack CMS-1500 Laser Printer Claim Forms Health Insurance Form No 0
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