TOP 50126RV - Tops Business Forms TOPS CMS-1500 Laser Printer | Aztek Computers
29+Years
SKU: VD0MLBB3R2 |  Mfg. Part: TOP 50126RV  | UPC: 025932512605  | 
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TOP 50126RV - Tops Business Forms TOPS CMS-1500 Laser Printer Forms - 20 lb - 1 Part - 8.50 x 11 Form Size - White - Red

100 Available
Condition: New

$68.56  $92.56
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Product Overview

CENTERS FOR MEDICARE AND MEDICAID SERVICES CLAIM FORMS, CMS1500/HCFA1500, 8 1/2 X 11, 500 FORMS/PACK

Expert Overview

The TOPS CMS-1500 Laser Printer Forms (TOP 50126RV) are designed for healthcare providers and billing departments that process Medicare and Medicaid claims. These 1-part, 8.5 x 11 inch forms are made from 20 lb white bond paper, featuring red OCR ink printing on both the front and back. They are specifically engineered for compatibility with laser printers, ensuring efficient processing of claim submissions. The forms comply with current physicians' standards and meet the requirements set by the Centers for Medicare and Medicaid Services (CMS), Champus, and the AMA Council of Medical Service. This product addresses the need for standardized, compliant claim documentation, helping to streamline the process of expediting Medicare and Medicaid payments. Each pack contains 500 forms, providing a reliable supply for ongoing operational needs.

Technical Specifications

General Information
Manufacturer:TOPS Products
Manufacturer Part Number:50126RV
Manufacturer Website Address:http://www.tops-products.com
Brand Name:TOPS
Product Name:CMS-1500 Laser Printer Forms
Marketing Information:

CMS-1500 forms comply with current physicians' standards for expediting Medicare and Medicaid payments. Each meets requirements of the Centers for Medicare and Medicaid Services, Champus and the AMA Council of Medical Service. Front and back of the white 20 lb. bond paper are printed in red OCR ink without a sensor bar. Forms are compatible with laser printers. Detached size is 8-1/2" x 11".


Packaged Quantity:500 / Pack
Product Type:Health Insurance Form
Product Information
Basis Weight:20 lb
Form Length:8.50"
Form Width:11"
Number of Parts:1
Print Color:Red
Print Technology:Laser
Physical Characteristics
Color:White
Material:Paper
Height:9.5"
Width:11"
Miscellaneous
Certifications & Standards:
  • AMA
  • NUCC
  • Champus

Recycled:No
Assembly Required:No
Country of Origin:United States

Product Details

  • Manufacturer:
  • Model Number:
  • ASIN:
  • UPC:
  • Condition:
  • Weight:
  • Dimensions:
  • Updated:
  • Added:
  • Country of Origin:
  • TOPS BUSINESS FORMS
  • TOP 50126RV
  • B00HQZH6I6
  • 025932512605
  • New
  • 5.4 lbs
  • 11 X 2 X 9
  • Today - Aug 03, 2026
  • Jun 10, 2021
  • United States
Product Identifiers: Brand: Tops Business Forms • Part #: TOP 50126RV • UPC: 025932512605 • ASIN: B00HQZH6I6 • Category: Forms & Record Keeping

Frequently Asked Questions

What printers are these forms compatible with?

These CMS-1500 forms are specifically designed for compatibility with laser printers.

How many forms are included in one pack?

Each pack contains 500 individual CMS-1500 forms.

What are the key compliance standards met by these forms?

These forms comply with current physicians' standards and meet the requirements of the Centers for Medicare and Medicaid Services (CMS), Champus, and the AMA Council of Medical Service.

What is the basis weight and color of the paper?

The forms are made from 20 lb basis weight white paper, with red OCR ink printing.

TOP 50126RV - Tops Business Forms TOPS CMS-1500 Laser Printer Forms - 20 lb - 1 Part - 8.50 x 11 Form Size - White - Red

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$68.56