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a TOPS 50135RV Laser 1-part CMS-1500 Health Insur. Clm Forms

TOPS 50135RV Laser 1-part CMS-1500 Health Insur. Clm Forms

20 lb - 11" x 8 1/2" Sheet Size - White Sheet(s) - Red Print Color - 250 / Pack

Item # TOP50135RV

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Retail/List price: $24.96
Your price:$15.57 for Pack
You save 38%!
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Inventory last updated: 11/23/2017 8:15am EST

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  • Compatible with laser printers
  • Convenient scanning
  • CMS, NUCC and OMB approved format
  • Printed front and back
The Manufacturer's Description Health insurance claim forms 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
Brand NameTOPS
ManufacturerTOPS Products
Product NameLaser 1-part CMS-1500 Health Insur. Clm Forms
Manufacturer Part Number50135RV
Manufacturer Website Address
Packaged Quantity250 / Pack


Sheet Size11" Width x 8 1/2" Length
Sheet ColorWhite
Basis Weight20 lb
Country of OriginUnited States
Assembly RequiredNo
Certifications & Standards
  • CMS
  • NUCC
  • OMB
Print ColorRed
Print TechnologyLaser


UPC code025932513503
Alternate code/substitutionTOP50135RV
Moore prefix and stock number
Package Weight2.59
Package Height1.1
Package Length8.5
Package Width11
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,Claims,Laser Printer 1-part CMS-1500 Health Insurance Claim Forms, OCR Red Ink, Laser Printable
 forms & record keeping tops 50135rv 1027908935 top50135rv top 50135rv 14111806 tops laser 1-part cms-1500 health insur. clm forms 20 lb 11" 8 1/2" sheet size white sheets red print color 250 / pack Laser 1-part CMS-1500 Health Insur. Clm Forms Health Insurance Form No
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