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TOP50126RV



TOPS CMS-1500 Laser Printer Forms - 20 lb - 1 Part - 8.50" x 11" Form Size - White - Red Print Color - Paper - 500 / Pack

Item Number: TOP50126RV

Retail Price: 71.47
Our Price: $50.12 / PK (savings 21.35)

Quantity in Stock: 239

Quantity:   
  • 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"
Free shipping on qualifying orders over $75

Additional Information


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".

General Information
Manufacturer: TOPS Products
Manufacturer Part Number: 50126RV
Manufacturer Website Address: https://www.tops-products.com
Brand Name: TOPS
Product Name: CMS-1500 Laser Printer Forms
Marketing Information:

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

Product Information
Basis Weight: 20 lb
Form Length: 8.50"
Form Width: 11"
Number of Parts: 1
Print Color: Red
Print Technology: Laser

Physical Characteristics
Product Color: White
Product Material: Paper
Height: 9.5"
Width: 11"

Miscellaneous
Certifications & Standards:
  • AMA
  • NUCC
  • Champus

Recycled: No
Assembly Required: No
Country of Origin: United States


Assembly Required: No


Prefix & Stock Number: TOP 50126RV

About Haskell New York Inc.


Through our MAS GSA® 75 Schedule, Haskell is authorized to sell to government agencies such as Social Security, the Dept. of the Interior and even the Department of Defense. Haskell also supports the AbilityOne® program. AbilityOne® provides employment opportunities to people with major disabilities including the blind, wounded veterans and people living with PTSD.

For three generations, the small family owned business has survived the Great Depression, world war, the emergence of the super-stores and transition to an online world by providing personal service and great products at reasonable prices. Haskell is also a member of the ISG™ (Independent Suppliers Group) and can quote specialty items like apparel and branded promotional items. Call for competitive quotes. Installation services available upon request.

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