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  • TOPS Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV)
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TOPS Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV)

by Tops

List Price: $23.44
Price: $20.91 & FREE Shipping on orders over $35. Details
You Save: $2.53 (11%)
Only 6 left in stock (more on the way).
Ships from and sold by Amazon.com. Gift-wrap available.
  • CMS-1500 health insurance claim form
  • Printed in OCR red ink for scanning
  • Approved by CMS, NUCC and OMB
  • Laser compatible
  • SFI Certified Sourcing
2 new from $18.45

Product Information

Technical Details
Brand NameTops
Item Weight2.6 pounds
Product Dimensions8.5 x 1.1 x 11 inches
Item model number50135RV
Number of Items1
Manufacturer Part Number50135RV
Additional Information
Best Sellers Rank #359,125 in Office Products (See top 100)
Shipping Weight2.6 pounds (View shipping rates and policies)
ShippingThis item is also available for shipping to select countries outside the U.S.
Date First AvailableNovember 13, 2013

Product Description

TOPS CMS-1500 Health Insurance Claim Forms are approved by the National Uniform Claim Committee (NUCC) and the OMB. For use with laser printers, these forms are printed in red OCR ink on white 20# bond paper. They measure 8.5 x 11 inches and come 250 per pack. This version (02/12) is for use beginning January 6, 2014. Since 1952, TOPS has provided quality products and services to businesses throughout the world. TOPS continues that commitment providing innovative, high quality value-added products for the office, school and home. Whether it's notebooks, writing pads, record books, time cards, business forms, or any of the hundreds of items we offer, you can count on TOPS products to help.

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