Name: TOPS 50135RV CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Brand: TOPS BUSINESS FORMS
SKU: TOP50135RV
Price: 21.75 USD
Availability: InStock

Image of TOPS 50135RV CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

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PK (Package of 250)

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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:	TOP50135RV
Manufacturer:	TOPS BUSINESS FORMS
Mfr. Part Number:	50135RV
Brand Name:	TOPS
Assembly Required:	No
Alternate Part Numbers:	TOP50135RV, TOP-50135RV, 50135RV, 50025932513508 (GTIN), 00025932513503 (GTIN), 50025932513508 (GTIN), 00025932513503 (GTIN), 025932513503 (UPC), 50025932513508 (GTIN), 00025932513503 (GTIN), 025932513503 (UPC), 50025932513508 (GTIN), 00025932513503 (GTIN), 025932513503 (UPC)
Country of Origin:	US (UNITED STATES)
TAA Compliant:	Yes
UNSPSC Code:	0014111806
Unit of Measure:	PK (Package of 250)
UPS Shippable:	Yes
Air Shippable:	Yes
Item Dimensions:	11.00 in. D x 8.50 in. W x 1.10 in. H
Weight:	2.6600 lb.
Expiration Date:	No

Environmental Properties

Green Indicator:	No
Recycled:	No

TOPS 50135RV CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Product Details

Environmental Properties

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