TOPS 50122RV 1-part CMS-1500 Continuous Forms
   
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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


Retail/List price: $197.45
$130.46 for Carton

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Inventory last updated: 11/20/2018 12:15pm EST
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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".

MAIN FEATURES

Product TypeHealth Insurance Form
Brand NameTOPS
ManufacturerTOPS Products
Product Name1-part CMS-1500 Continuous Forms
Manufacturer Part Number50122RV
Manufacturer Website Addresshttp://www.tops-products.com
Packaged Quantity3000 / Carton

OTHER FEATURES

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

ADDITIONAL CHARACTERISTICS

UPC code025932512209
Alternate code/substitutionTOP50122RV
Moore prefix and stock number
Package Weight
Package Height
Package Length
Package Width
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,One-part CMS-1500 1-part Medical Payment Services Continuous Forms
 forms & record keeping tops 50122rv 1025748645 14111806 top50122rv top 50122rv top50122v 025932512209 forms & record keeping tops 50122rv 1025748645 top50122rv top50122v 025932512209 top 14111806 1-part cms-1500 continuous 20 lb 1 part 8.50" 11" form size red print color paper 3000 / carton health insurance no yes 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 0
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