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Tops CMS-1500 Medicare/Medicaid Forms for Laser Printers, One-Part (No Copies), 8.5 x 11, 500 Forms Total

$64.51 / Pack
In Stock

CMS-1500 Medicare/Medicaid Forms for Laser Printers – One-Part, 8.5 x 11, 500 Forms Total

Ensure efficient processing of Medicare, Medicaid, or private insurance benefits with these top-quality CMS-1500 claim forms. Designed to meet NUCC, CMS, and AMA standards, these forms are the reliable choice for healthcare providers and insurance companies. The forms are the (02/12) version and are printed front and back in red OCR ink, making them ideal for scanning.

Key Features

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid, or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • Printed in OCR red ink for efficient scanning.

These forms come in a pack of 500, each form sized at 8.5 x 11 inches. They are designed for laser printers and made from 20-lb. white paper stock, ensuring durability and reliability. The print and ruling are in OCR red, enhancing readability and accuracy when scanned.

Manufactured by Tops, a trusted name in the industry, these CMS-1500 forms are crafted to meet the high standards required in healthcare documentation.

  • Quantity : 500 per Pack
  • Form Size : 8 1/2 x 11
  • Forms Per Page : 1
  • Principal Heading : 1500 Health Insurance Claim Form
  • Layout : One Form per Sheet
  • Printer Compatibility : Laser
  • Paper Stock : 20-lb.
  • Paper Color : White
  • Print and Ruling Color : OCR Red
  • Special Features : For Laser Printers

Prescription Information

A valid medical prescription must be submitted to Betty Mills within seven (7) days for the ordered item(s), and shipping will be on hold until the prescription is received. If the prescription is not provided within this timeframe, the order may be canceled. This requirement does not apply to licensed care providers, training facilities, equivalent qualified professionals, or licensed wholesalers, who are exempt from this policy.

Prescriptions may be sent via:

(650) 443-5201
The Betty Mills Company, Inc.
19 South B Street Suite 8
San Mateo, CA 94401

You are entitled to a free consultation following the purchase of this item.

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