$29.49/Pack
Ships free with PlusProduct Overview
- Meets all federal regulations
- Expedites Medicare, Medicaid, or private insurance claims processing
- 20 lb. basis weight
- Standard 8 1/2" x 11" size
- Includes OCR red ink for scanning
- Quantity
- 500/Pack
- Shipping Weight
- 5.24 lb.
- Length
- 11 Inches
- Width
- 8 1/2 Inches
- Basis Weight
- 20 lb.
- Color
- White
- Material
- Paper
- Shape
- Rectangle
- Type
- Medical Services Forms
TOPS 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 lb. 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"
Because this item is not stocked in our warehouse, processing, transit times and stock availability will vary. If you need your items by a certain date, please contact us prior to placing your order. Expedited shipping availability may vary. We cannot guarantee that this item can be cancelled off of the order or returned once it is placed.
Customer questions about this product