TOPS 50124R Two-part CMS-1500 Forms
   

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TOPS 50124R Two-part CMS-1500 Forms

2 Part - Carbonless Copy - 8 1/2" x 11" Sheet Size - White Sheet(s) - Red Print Color - 1500 / Carton
Item #: TOP50124R
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Retail/List price: $191.48
$120.02 for Carton

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Inventory last updated: 01/24/2018 1:00am EST

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  • Meets requirements of Champus and the AMA Council of Medical Service
  • Printed in OCR red ink for scanning
  • Approved by NUCC
  • Meets requirements of the Centers for Medicare and Medicaid Services
  • Complies with current physicians' standards for expediting Medicare and Medicaid payments
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 AMA Council of Medical Service. Forms come in a continuous format.

MAIN FEATURES

Product TypeClaim Form
Brand NameTOPS
ManufacturerTOPS Products
Product NameTwo-part CMS-1500 Forms
Manufacturer Part Number50124R
Manufacturer Website Addresshttp://www.tops-products.com
Packaged Quantity1500 / Carton

OTHER FEATURES

Sheet Size8 1/2" Width x 11" Length
Number of Parts2
Sheet ColorWhite
Carbonless CopyYes
Country of OriginUnited States
RecycledNo
Post-consumer-waste%0%
Assembly RequiredNo
Print ColorRed

ADDITIONAL CHARACTERISTICS

UPC code025932501241
Alternate code/substitutionTOP50124R
MPC number (Moore product code)674167
Moore prefix and stock numberTOP50124R
Package Weight
Package Height
Package Length
Package Width
Product Classification CodeEFAA
Country of OriginUS
Ready to AssembleN
RecycledN
UPS-ableY
Recommended substitutionsTOP50124RV
Old item number
Minority/Women-Owned/Challenged Vendor
Old item number
Non-returnableN
Special order itemN
Relevant Terms
 forms & record keeping tops 50124r 11971171 14111800 025932501241 top50124r top 50124r top50124 0025932501241 22584197 0668424 p350124r forms & record keeping tops 50124r 11971171 14111800 025932501241 top50124r top top50124 0025932501241 22584197 p350124r 0668424 business claims hcfa billing insurance medicare medicaid medical health claim form white hfca complain certificates two-part cms-1500 2 part carbonless copy 8 1/2" 11" sheet size sheets red print color 1500 / carton no tops two-part cms-1500 forms 2 part carbonless copy 8 1/2" 11" sheet size white sheets red print color 1500 / carton Two-part CMS-1500 Forms Claim Form No
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