Scannable Barcode for UPC 025932512407
Sellers
Marketplace | Price | Updated |
---|---|---|
$79.02 | 07/29/2018 18:41:43 GMT - Details | |
$90.46 | 07/29/2018 18:41:48 GMT | |
$106.42 | 09/11/2017 21:11:24 GMT | |
$111.27 | 09/11/2017 21:11:24 GMT | |
$113.87 | 09/11/2017 21:11:24 GMT | |
$118.51 | 07/29/2018 18:41:50 GMT | |
$143.99 | 07/29/2018 18:41:50 GMT | |
$145.22 | 07/29/2018 18:41:50 GMT |
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TOPS Auto Repair Four-Part Order Form, 8 1/2 x 11, Four-Part Carbonless, 50 Forms
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Attributes
Attribute | Value |
---|---|
MPN | 50124RV |
Brand | Tops |
Color | WHITE |
Model | 50124RV |
Manufacturer | TOPS Business Forms, Inc. |
Product Features
- CMS-1500 health insurance claim form
- Printed in OCR red ink for scanning
- Approved by CMS, NUCC and OMB
- 2-part continuous
- Made in the USA
Description
TOPS CMS-1500 Health Insurance Claim Forms are approved by the National Uniform Claim Committee (NUCC) and the OMB. These 2-part, carbonless, continuous forms are printed in red OCR ink on white 20# paper. They measure 9.5 x 11 inches and have a detached size of 8.5 x 11 inches. There are 1500 forms per carton. This version (02/12) is for use beginning January 6, 2014. Since 1952, TOPS has provided quality products and services to businesses throughout the world. TOPS continues that commitment p
Product Name Variations
- Medicare and Medicaid ServiceForm,PK1500
- TOPS CMS-1500 Insurance Continuous Forms, White, 1500 / Carton (Quantity)
- TOPS CMS-1500 Health Insurance Claim Forms, 2-Part Carbonless, Continuous, 9.5 x 11 Inches, 1500 Sheets per Carton (50124RV)
- CMS-1500 Forms, 2-Part, 9-1/2"x11", 1500 Sets TOP50124RV
- TOPS Centers for Medicare and Medicaid Services Forms, Two-Part, 1500 Forms
- TOPS 50124RV CMS-1500 Insurance Continuous Forms - 2 Part - 8.50"" x 11"" Form Size - 1500 / Carton
- TOPS(R) CMS 2-Part Continuous Forms Without Bar Ream Margins, 9 1/2in. x 11in., Box Of 1,500
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