Please ensure Javascript is enabled for purposes of website accessibility TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 1/Page, 250 Forms/Pack (50135RV) | OfficeCrave.com
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TOPS CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 250 Forms Total (50135RV)

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

$21.52

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

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

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$21.52 $40.59 Pack of 250 ($0.09/Each)

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Estimated Delivery Date: 07/21/2026

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Estimated Delivery Date: 07/21/2026

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Additional shipping charges may apply to quotes that exceed standard weight and dimensions.
In Stock
SKU: TOP50135RV
Bulk Discounts
Bulk
Discounts
1-2 Day Shipping
1-2 Day
Shipping
Easy Returns
Easy
Returns
Made in USA
Made
in USA
AutoShip Eligible
AutoShip
Eligible
Google Trusted Store
Google
Trusted
Secure Checkout
Secure
Checkout
Satisfaction Guaranteed
Satisfaction
Guaranteed

Product Details

  • 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.

  • Shop TOPS Products

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Product Description

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/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Product Specs

Manufacturer

MPN

TOP50135RV

Model#

50135RV

Alternate Product Number

2408453

UPC Code

025932513503

UNSPSC Code

1

Copy Types

One-Part (No Copies)

Dated/Undated

Undated

Form Size

8.5 x 11

Forms Per Page

1

Global Product Type

Paper Color(s)

White

Paper Stock

20 lb Bond

Post-Consumer Recycled Content Percent

0%

Pre-Consumer Recycled Content Percent

0%

Principal Heading(s)

1500 Health Insurance Claim Form

Print and Ruling Color(s)

OCR Red

Printer Compatibility

Laser

Special Features

Laser Printer Compatible

Total Recycled Content Percent

0%

Color Family

White

Form Type Details

CMS-1500

Format Indicator

Unbound

Form Quantity (Total)

250

Assembly Required

No assembly is required

Contains Recycled Materials

N

Green Product

N

Unit of Measure

Pack

Item Weight

2.59

Ships via UPS

Y

Carton Pack Quantity

8 Pack

Pack Quantity

250 Each

This item is sold by the

Pack which contains 250 Each

GTIN Item

025932513503

UPC Retail

025932513503

UPC Carton

50025932513508

Brand

TOPS

Manufacturer Stock No.

50135RV

Country of Origin

US

UNSPSC Number

14111806

Q & A (10)

Questions & Answers

Q: Are these forms compatible with laser printers?

1 Answers

Are these forms compatible with laser printers?
09-06-2024

A: Yes, these forms are designed specifically for use with laser printers.

09-07-2024

Q: Are these forms suitable for Medicare/Medicaid billing?

1 Answers

Are these forms suitable for Medicare/Medicaid billing?
09-01-2024

A: Yes, these forms are suitable for Medicare/Medicaid billing.

09-02-2024

Q: Is there any special software required to print on these forms?

1 Answers

Is there any special software required to print on these forms?
06-15-2024

A: No special software is required, but the forms should align with your billing software's printing format.

06-16-2024

Q: What is the part number for these forms?

1 Answers

What is the part number for these forms?
05-12-2024

A: The part number for these forms is 50135RV.

05-13-2024

Q: Can these forms be used for other insurance claims?

1 Answers

Can these forms be used for other insurance claims?
05-07-2024

A: Yes, these forms can be used for other insurance claims requiring CMS-1500 format.

05-08-2024
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