Previous

Item in product family

Next

Item in product family

Call us 7 days a week

1.888.978.7759

Know exactly what you want?

Save time with this quick order form. If you know the catalog/part numbers for the items you wish to purchase, enter them into your cart here. You can also browse the site and add items to your cart from any product page.

Quick Order

Item NumberQuantity
Return to Category List
Tops® Laser CMS-1500 Claim Forms, 1-Part, Carbonless, 8-1/2" x 11", White, 500 Forms/Pack
See all 3 items in product family

Tops® Laser CMS-1500 Claim Forms, 1-Part, Carbonless, 8-1/2" x 11", White, 500 Forms/Pack

Item #: WBB859471

Sold By: globalindustrial.com

Ships same day. Estimated lead times do not include weekends or holidays. Transit time is determined by shipping method and destination. Orders requiring credit information might take additional time.

0 reviews | Write a review

List Price: $42.52 Save up to 25%
Qty Price
1-2 $38.95 ea.
3+ $31.95 ea.

with FREE shipping today! (within the contiguous US)

Product Information
Customer Review
Product Q&A
Accessories
Tops® Laser CMS-1500 Claim Forms, 1-Part, Carbonless, 8-1/2" x 11", White, 500 Forms/Pack

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, Campus and the AMA Council of Medical Service. Front and back are printed in red OCR ink on white 20 lb. bond without sensor bar. Forms are compatible with laser printers.


This product arrives to most customers in 2-3 business days.

Product Specifications

    • WIDTH INCHES8-1/2
    • HEIGHT INCHES11
    • COLOR FINISHWhite
    • CONSTRUCTIONPaper
    • BRANDTops®
    • DESCRIPTIONLaser CMS-1500 Claim Form
    • MANUFACTURERS PART NUMBER50126R
    • PACKAGE QUANTITY500 Forms/Pack
    • PAPER TYPEForms
    • STYLEMedical Form

Avg. Customer Rating: (0 customer reviews)

Write your own review

Be the First to Ask a Question!