Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack
Please make your buying decision based on the part number not the image. Images are used for illustration only and may not be accurate.

Specifications

Top of Page
Model No.: 50135R
Alternate Model Numbers: TOP50135RV 50135R
UPC: 025932513503
Ship Weight (lbs): 2.660
Care Warehouse SKU: 2111363 (71)
Manufacturer: TOPS BUSINESS FORMS

Please click on the manufacturer's name or logo to preview all products

Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 250 Forms/Pack / PK

Buy from Care Warehouse

 
Your Price
26.50
$26.50
Only 400 left in stock (most orders ship within 24 business hours)

Quantity to Order

We offer volume pricing, email sales@carewarehouse.com for a quote.
(System may automatically enter minimum order quantity)

Item Description

Top of Page

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Size: 11 x 8 1/2; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.


This product ships in approximately 3 days
This product is made in US

Tools

Top of Page


Estimate Shipping:   
Enter ZIP Code for shipping estimate, before the discount applied at checkout:
Enter State Abbr.

Your Shipping Estimate for quantity one item (as provided by Fedex) is shown below (shipping multiple items will reduce shipping):
We can notify you when we get stock:     Please enter your email address and the quantity you need below if you want us to notify you when we get stock for this item. Our buyers will get your email and work hard to get this item in stock.
Email:      Quantity:     

We can notify you when the price drops:     Please enter your email address and your desired price for this item. We will email you when the price of this item changes to match your desired price.
Email:      Target Price:     

Protect Your Investment - Purchase an Extended Warranty

Top of Page

Don't Miss a Deal or Special Offer!
Get Email Savings and Updates:
See our privacy policy.

About Care Warehouse • The Care Warehouse Guarantee • Contact Us • Customer Service • Privacy Statement

Copyright © 2009-2022 A part of the Intelastores, Inc. Store Network
Site Designed and Maintained by Inline Internet Systems, Inc.