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TOPS CMS-1500 Laser Printer Forms

Stock #TOP50126RV
$71.08 / 500 / Pack
  • 1 + $71.08 PK

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20 lb - 1 Part - 8.50" x 11" Form Size - White - Red Print Color - Paper - 500 / Pack

  • Approved by the AMA and the National Uniform Claim Committee (NUCC)
  • Printed in red OCR ink without a sensor bar
  • Compatible with laser printers
  • Detached size: 8-1/2" x 11

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Specs: Detailed Description:
Manufacturer TOPS Products
Manufacturer Part Number 50126RV
Brand Name TOPS
Product Name CMS-1500 Laser Printer Forms
Product Description

CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".
Packaged Quantity 500 / Pack
Product Type Health Insurance Form
Basis Weight 20 lb
Form Length 8.50"
Form Width 11"
Number of Parts 1
Print Color Red
Print Technology Laser
Product Color White
Product Material Paper
Height 9.5"
Width 11"
Certifications & Standards
  • AMA
  • NUCC
  • Champus
Recycled No
Assembly Required No
Country of Origin United States
Significant Savings

Please call our Customer Care Center at 800.222.0510 or contact us to learn how volume purchase plans can result in significant savings for your firm. If you choose to purchase a quantity greater than shown, discounted pricing will be applied after this order is submitted and will be reflected on your invoice.