TOPS 50126RV CMS-1500 Laser Printer Forms


TOPS 50126RV CMS-1500 Laser Printer 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
$36.71 for Pack

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Inventory last updated: 01/22/2018 11:15am EST

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  • Detached size: 8-1/2" x 11"
  • Compatible with laser printers
  • Printed in red OCR ink without a sensor bar
  • Approved by the AMA and the National Uniform Claim Committee (NUCC)
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".


Product TypeHealth Insurance Form
Brand NameTOPS
ManufacturerTOPS Products
Product NameCMS-1500 Laser Printer Forms
Manufacturer Part Number50126RV
Manufacturer Website Address
Packaged Quantity500 / Pack


Number of Parts1
Form Length8.50"
Form Width11"
Basis Weight20 lb
Country of OriginUnited States
Recycled Content0%
Assembly RequiredNo
Certifications & Standards
  • AMA
  • NUCC
  • Champus
Print ColorRed
Print TechnologyLaser


UPC code025932512605
Alternate code/substitutionTOP50126RV
Moore prefix and stock number
Package Weight
Package Height
Package Length
Package Width
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 Medicare Medicaid Payment Laser Printer Forms
 forms & record keeping tops 50126rv 1025748647 14111806 top50126rv top 50126rv top50126v 025932512605 forms & record keeping tops 50126rv 1025748647 top50126rv top50126v 025932512605 top 14111806 cms-1500 laser printer 20 lb 1 part 8.50" 11" form size red print color paper 500 / pack health insurance no tops cms-1500 laser printer forms 20 lb 1 part 8.50" 11" form size red print color paper 500 / pack CMS-1500 Laser Printer Forms Health Insurance Form No 0
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