Skip to contentGo to Product Search
Main Content

TOPS - Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack - Red and White

Model: 50135RV
SKU: 11203348

Reviews coming soon

Sold & shipped by

About this product

CMS-1500 claim forms 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.

Features

  • 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

  • Made in the USA

  • 250 forms per pack

Specifications

  • Brand
    TOPS
    Model Number
    50135RV
    Product Name
    Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack
    Color
    Red and White
    Number Of Forms Included
    250
    Product Width
    8.5 inches
Sponsored

Reviews

This product doesn't have any reviews yet.

Compare similar products

TOPS - Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack - Red and White
TOPS - Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack - Red and White

CMS-1500 claim forms 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.

TOPS - CMS-1500 Health Insurance Claims, 500/Pack - White/Red

Keep your human resource or billing department stocked with these health insurance claim forms. The preprinted fields provide spaces for names, addresses, service codes and other essential information, and the red OCR ink is ideal for scanning tasks. These TOPS CMS-1500 forms are compatible with laser printers, so your staff can populate and print claims with crisp, clear results.

ComplyRight - CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) - White/Red

Ensure all the necessary information for insurance claims is submitted by using these health insurance claim forms. The preprinted format allows for easy data entry, and the laser-cut sheets work with a wide range of printers for clear, precise printouts. These ComplyRight claim forms feature red OCR dropout ink to meet government regulations, ensuring better compliance and efficient document completion.

Rediform - 2-Part Carbonless Purchase Requisitions, 4.25"L x 7"W, 50 Sets/Book - White/Yellow

Rediform brand business forms represent the most professional way to do business. All of our carbonless business forms are manufactured with high-quality papers for sharp and clear image reproduction, faithful to the original.

Specs

Be the first to ask a question.

We’ll try to get your question answered within 24 hours by a Best Buy customer or brand representative.

No content
Sponsored