Quantity Discounts


Ships free with Plus
Regularly: $20.99/Pack
  • Meets all federal regulations
  • Expedites Medicare, Medicaid, or private insurance claims processing
  • 20# basis weight
  • Standard 8 1/2" x 11" size
  • Includes OCR red ink for scanning
UPC Code: 00025932512605
TOPS TOP 50126RV Specs
Length 11 Inches
Width 8 1/2 Inches
Basis Weight 20#
Color White
Material Paper
Shape Rectangle
Type Medical Services Forms

Customer questions about this product

What is basis weight?
Basis weight is the weight of one ream of paper (500 sheets) when cut to the industry standard for that specific grade of paper. Therefore, the higher the basis weight, the heavier the paper. This weight may differ from the actual weight of the product being sold, so to differentiate the two, basis weight is often notated with a “#” sign after it, whereas the product weight is usually labeled with “lb.” after it.
Ask your own question!

TOPS TOP 50126RV Details

Speed up your insurance claims processing time with this easy-to-use Tops TOP 50126RV 8 1/2" x 11" CMS-1500 Centers for Medicare and Medicaid services form. This form meets all the federal requirements of Centers for Medicare and Services (CMS) and therefore can be used for processing Medicare, Medicaid, or private insurance claims.

Thanks to its 20# basis weight, each sheet is sturdy and will resist tear during processing. Plus, each sheet is preprinted and standard letter size for your convenience, making this TOPS insurance claim form an essential for a speedy claims processing experience!

Overall Dimensions:
Length: 11"
Width: 8 1/2"

Attention CA Residents: Prop 65 Warning

Leave a review of this product!

If you've used this product, log in and leave a review to tell us and other customers what you thought about it. Get paid up to $16 for submitting one of the first text, photo, or video reviews for this item. View your account for details.

Login or Register