Home > All Products > TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total
TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total
Forms, Recordkeeping & Reference Materials Out of Stock

TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

by TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms | Item #: TOP50126RV | SKU: 50126RV | UPC: 025932512605 | Made in: US
List Price
$41.45 /each
CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.

Product Overview

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

Item #TOP50126RV
SKU50126RV
UPC025932512605
BrandTOPS™ Centers for Medicare and Medicaid Services (CMS) Forms
CategoryForms, Recordkeeping & Reference Materials
Sub CategoryForms
List Price$41.45
Country of OriginUS
Dimensions11" L x 8.5" W x 2.2" H
Weight5.1930 lbs
Form Type DetailsCMS-1500
Global Product TypeInsurance Forms
DatedNo
Forms Per Page1
Form Size8.5 x 11
Format IndicatorUnbound
Form Quantity (Total)500
Copy TypesOne-Part (No Copies)
Principal Heading(s)1500 Health Insurance Claim Form
Paper Color(s)White
Color FamilyWhite
Printer CompatibilityLaser
Paper Stock20 lb Bond
Print and Ruling Color(s)OCR Red
Product Biodegradability IndicatorN
Product Compostability IndicatorN
Pre-Consumer Recycled Content Percent0%
Post-Consumer Recycled Content Percent0%
Total Recycled Content Percent0%
Special FeaturesLaser Printer Compatible

Carton Info

Count5 PK / Carton
Weight28 lbs / Carton
UPC025932512605
Product TypeFORM,CMS1500,INS,500/PK

Product Highlights

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.

Ships via standard ground delivery. Allow 3-5 business days.

Item Weight: 5.1930 lbs

Dimensions: 11" L x 8.5" W x 2.2" H