{"product_id":"tops-50126rv-cms-1500-medicare-medicaid-forms-for-laser-printers-one-part-no-copies-8-5-x-11-500-forms-total-top50126rv","title":"TOPS 50126RV CMS-1500 Medicare\/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total","description":"\u003cp\u003e\u003cb\u003eImportant Note: This item is not returnable\u003c\/b\u003e\u003c\/p\u003eExpedite 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\u003cp\u003e\u003c\/p\u003e\u003cul\u003e\n\u003cli\u003eCMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.\u003c\/li\u003e\n\u003cli\u003eTop sensor bar for microfiche duplication, as required in some states.\u003c\/li\u003e\n\u003cli\u003eOCR red ink for scanning.\u003c\/li\u003e\n\u003c\/ul\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003eProduct Details\u003c\/h3\u003e\u003ctable\u003e\n\u003ctr\u003e\n\u003ctd\u003eSKU:\u003c\/td\u003e\n\u003ctd\u003eTOP50126RV\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eManufacturer:\u003c\/td\u003e\n\u003ctd\u003eTOPS BUSINESS FORMS\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eMfr. Part Number:\u003c\/td\u003e\n\u003ctd\u003e50126RV\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eBrand Name:\u003c\/td\u003e\n\u003ctd\u003e\u003ca href=\"https:\/\/ab1express.com\/collections\/tops\"\u003eTOPS\u003c\/a\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAssembly Required:\u003c\/td\u003e\n\u003ctd\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlternate Part Numbers:\u003c\/td\u003e\n\u003ctd\u003eTOP50126RV, 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)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCountry of Origin:\u003c\/td\u003e\n\u003ctd\u003eUS (UNITED STATES)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eTAA Compliant:\u003c\/td\u003e\n\u003ctd\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUNSPSC Code:\u003c\/td\u003e\n\u003ctd\u003e0014111806\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUnit of Measure:\u003c\/td\u003e\n\u003ctd\u003ePK (Package of 500)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eUPS Shippable:\u003c\/td\u003e\n\u003ctd\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAir Shippable:\u003c\/td\u003e\n\u003ctd\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eItem Dimensions:\u003c\/td\u003e\n\u003ctd\u003e11.00 in. D x 8.50 in. W x 2.20 in. H\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eWeight:\u003c\/td\u003e\n\u003ctd\u003e5.1930 lb.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eExpiration Date:\u003c\/td\u003e\n\u003ctd\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/table\u003e\u003ch3\u003eEnvironmental Properties\u003c\/h3\u003e\u003ctable\u003e\n\u003ctr\u003e\n\u003ctd\u003eGreen Indicator:\u003c\/td\u003e\n\u003ctd\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eRecycled:\u003c\/td\u003e\n\u003ctd\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/table\u003e","brand":"TOPS BUSINESS FORMS","offers":[{"title":"PK (Package of 500)","offer_id":48104153383141,"sku":"TOP50126RV","price":39.75,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0659\/4828\/7205\/files\/207381.jpg?v=1771826613","url":"https:\/\/ab1supply.com\/products\/tops-50126rv-cms-1500-medicare-medicaid-forms-for-laser-printers-one-part-no-copies-8-5-x-11-500-forms-total-top50126rv","provider":"AB1Supply","version":"1.0","type":"link"}