TOPS BUSINESS FORMS
Laser Printer Claim Forms, CMS-1500, 1-Part, 9-1/2"x11"
Item # TOP50126RV · Mfr part # 50126RV
In stock
Contact us for GSA contract pricing.
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".
Specifications
| Brand | TOPS BUSINESS FORMS |
|---|---|
| Item # | TOP50126RV |
| Mfr part # | 50126RV |
| UPC | 025932512605 |
| Unit of measure | PK |
| Unit of issue | PK (500 per) |
| Packaging | 500EA/PK, 5PK/CT |
| Dimensions (L x W x H, in) | 11 x 8.5 x 2.2 |
| Weight (lb) | 5.4 |
| Country of origin | United States Of America |
| UNSPSC | 14111806 |
| GSA SIN | 339940 |