TOP 50135RV - Tops Business Forms TOPS CMS-15000 Health | Aztek Computers
29+Years
SKU: APNKEF4PCM |  Mfg. Part: TOP 50135RV  | UPC: 025932513503  | 
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TOP 50135RV - Tops Business Forms TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11 x 8.50 Sheet Size - White She

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$37.83  $51.07
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Product Overview

CENTERS FOR MEDICARE AND MEDICAID SERVICES CLAIM FORMS, CMS1500/HCFA1500, 8 1/2 X 11, 250 FORMS/PACK

Expert Overview

The TOPS CMS-15000 Health Insurance Claim Forms, part number TOP 50135RV, are designed for healthcare providers and billing departments that require a standardized method for submitting health insurance claims. These forms adhere to the CMS, NUCC, and OMB approved formats, ensuring compliance with industry regulations for claim submission. Each form measures 11 x 8.50 inches and is printed on 20 lb bond white paper with red OCR ink, which facilitates accurate scanning processes. They are specifically engineered for compatibility with laser printers, allowing for efficient in-house printing of claim details. This product is suitable for organizations that process a high volume of claims and need reliable, pre-formatted forms that meet current federal and industry standards for health insurance billing. Each pack contains 250 forms, providing a practical supply for ongoing operations.

Technical Specifications

General Information
Manufacturer:TOPS Products
Manufacturer Part Number:50135RV
Manufacturer Website Address:http://www.tops-products.com
Brand Name:TOPS
Product Name:CMS-15000 Health Insurance Claim Forms
Marketing Information:

Health insurance claim forms are in the CMS, NUCC and OMB approved format. They are printed front and back in red OCR ink on white, letter-size, 20 lb. bond for convenient scanning. Forms are compatible with laser printers.


Packaged Quantity:250 / Pack
Product Type:Health Insurance Form
Product Information
Basis Weight:20 lb
Sheet Size:11" Width x 8.50" Length
Sheet Color:White
Print Color:Red
Print Technology:Laser
Miscellaneous
Certifications & Standards:
  • CMS
  • NUCC
  • OMB

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 50135RV
  • B00IGJ891Y
  • 025932513503
  • New
  • 2.66 lbs
  • 11 X 1 X 9
  • Today - Aug 03, 2026
  • Jun 10, 2021
  • United States
Product Identifiers: Brand: Tops Business Forms • Part #: TOP 50135RV • UPC: 025932513503 • ASIN: B00IGJ891Y • Category: Forms & Record Keeping

Frequently Asked Questions

What are the dimensions and paper weight of these claim forms?

These claim forms have a sheet size of 11 inches in width by 8.50 inches in length. The paper has a basis weight of 20 lb.

Are these forms compatible with standard office printers?

Yes, these health insurance claim forms are compatible with laser printers, allowing for efficient printing of claim information.

What certifications do these claim forms meet?

The forms are in the CMS, NUCC, and OMB approved format, ensuring they meet recognized standards for health insurance claim submission.

How many forms are included in each pack?

Each pack of TOPS CMS-15000 Health Insurance Claim Forms contains 250 individual forms.

TOP 50135RV - Tops Business Forms TOPS CMS-15000 Health Insurance Claim Forms - 20 lb - 11 x 8.50 Sheet Size - White She

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$37.83