$29.49/Pack

Ships free with Plus

You must buy a minimum of 5 at a time due to manufacturer packaging.

Special Order Shipping

An estimated delivery date will be provided after placing the order

Product 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
UPC Code:00025932512605

TOPS 50126RV Specs

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.

Attention CA Residents:

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.
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TOPS 50126RV