TOPS Health Insurance Claim Forms for Laser Printer, 8.5 x 11 inches, 500 Sheets per Pack (50126RV)

Breadcrumb Abstract Shape
Breadcrumb Abstract Shape
TOPS Health Insurance Claim Forms for Laser Printer, 8.5 x 11 inches, 500 Sheets per Pack (50126RV)

TOPS Health Insurance Claim Forms for Laser Printer, 8.5 x 11 inches, 500 Sheets per Pack (50126RV)

Original price was: $42.52.Current price is: $29.19.

Price: $42.52 - $29.19
(as of Nov 10,2025 01:00:56 UTC – Details)

Features:

  • CMS-1500 health insurance claim form

  • Printed in OCR red ink for scanning

  • CMS, NUCC and OMB approved format

  • Laser compatible

  • SFI Certified Sourcing

Pros:

  • Approved by NUCC and OMB

  • For use with laser printers

  • Red OCR ink on white 20# bond paper

  • Measures 8.5 x 11 inches

  • 500 sheets per pack

Cons:

  • Specifically for use beginning January 6, 2014 (version 02/12)

  • May not be suitable for non-laser printers

  • May require additional scanning equipment for use

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