TOPS 50126RV CMS-1500 Laser Printer Forms
   
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TOPS 50126RV CMS-1500 Laser Printer Forms

20 lb - 1 Part - 8.50" x 11" Form Size - White - Red Print Color - Paper - 500 / Pack
Item #: TOP50126RV


Retail/List price: $50.93
$31.43 for Pack

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Inventory last updated: 10/22/2020 11:25pm EDT
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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".

MAIN FEATURES

Product TypeHealth Insurance Form
Brand NameTOPS
ManufacturerTOPS Products
Product NameCMS-1500 Laser Printer 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
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
Package Weight
Package Height
Package Length
Package Width
Product Classification CodeEFFA
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
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