Name: TOPS 50126RV CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total
Brand: TOPS BUSINESS FORMS
SKU: TOP50126RV
Price: 39.75 USD
Availability: InStock

Image of TOPS 50126RV CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

Your Price: $39.75

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Unit

PK (Package of 500)

Quantity

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Important Note: This item is not returnable

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. Laser Printer Compatible. Form Type Details: CMS-1500; Dated: No; Forms Per Page: 1; Fo

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.

Product Details

SKU:	TOP50126RV
Manufacturer:	TOPS BUSINESS FORMS
Mfr. Part Number:	50126RV
Brand Name:	TOPS
Assembly Required:	No
Alternate Part Numbers:	TOP50126RV, TOP-50126RV, 50126RV, 50025932512600 (GTIN), 00025932512605 (GTIN), 50025932512600 (GTIN), 00025932512605 (GTIN), 025932512605 (UPC), 50025932512600 (GTIN), 00025932512605 (GTIN), 025932512605 (UPC), 50025932512600 (GTIN), 00025932512605 (GTIN), 025932512605 (UPC)
Country of Origin:	US (UNITED STATES)
TAA Compliant:	Yes
UNSPSC Code:	0014111806
Unit of Measure:	PK (Package of 500)
UPS Shippable:	Yes
Air Shippable:	Yes
Item Dimensions:	11.00 in. D x 8.50 in. W x 2.20 in. H
Weight:	5.1930 lb.
Expiration Date:	No

Environmental Properties

Green Indicator:	No
Recycled:	No

TOPS 50126RV CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

Product Details

Environmental Properties

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