TOPS Centers for Medicare & Medicaid Services Forms, 8-1/2 x 11, 500 Forms

$12.49
$12.49
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 Return Policy

  • CMS-1500
  • Top sensor bar for microfiche duplication
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    About this item

    Important Made in USA Origin Disclaimer: For certain items sold by Walmart on Walmart.com, the displayed country of origin information may not be accurate or consistent with manufacturer information. For updated, accurate country of origin data, it is recommended that you rely on product packaging or manufacturer information.

    Use these TOPS Centers for Medicare and Medicaid Services CMS-1500 Claim Forms to expedite health coverage benefits. They have double-sided pre-printed papers that display OCR red ink that's compatible with most scanning processors. A top sensor bar on these health insurance claim forms leaves ample space for microfiche duplication, as required by certain states. They feature a format that is approved by Medicare, Medicaid, NUCC, AMA and most private health insurance companies. These CMS-1500 forms measure 8-1/2" x 11" each and include 500 forms per pack.


    About this item

    Important Made in USA Origin Disclaimer: For certain items sold by Walmart on Walmart.com, the displayed country of origin information may not be accurate or consistent with manufacturer information. For updated, accurate country of origin data, it is recommended that you rely on product packaging or manufacturer information.

    Use these TOPS Centers for Medicare and Medicaid Services CMS-1500 Claim Forms to expedite health coverage benefits. They have double-sided pre-printed papers that display OCR red ink that's compatible with most scanning processors. A top sensor bar on these health insurance claim forms leaves ample space for microfiche duplication, as required by certain states. They feature a format that is approved by Medicare, Medicaid, NUCC, AMA and most private health insurance companies. These CMS-1500 forms measure 8-1/2" x 11" each and include 500 forms per pack.



    TOPS Centers for Medicare and Medicaid Services Forms:

    • CMS-1500
    • Size: 8-1/2" x 11"
    • Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar
    • 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
    • Health insurance claim forms are printed with OCR red ink for scanning
    • Ideal for keeping Human Resource personnel forms together


    Specifications

    Color: Multicolor
    Condition: New
    Size: 8-1/2" x 11"
    Manufacturer Part Number: TOP50135R
    Brand: TOPS
    Is Dark Sky-Compliant: Y
    Features:

    20lb Bond Paper

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    Customer Reviews

    Customer Reviews | 9 reviews | 4.6 out of 5

    4.5 stars

    9 reviews | 4.6 out of 5

    4.5 stars

    9 reviews | 4.6 out of 5

    100%
    Would recommend to a friend
    5 stars
    8
    4 stars
    0
    3 stars
    0
    2 stars
    0
    1 stars
    1
    1-5 of 6 total reviews
    100%
    Would recommend to a friend

    Age

    Gender

    These are the the new 02-12 50126RV forms
    3/6/2014

    Customer review by Fireborne

    5.0 stars 3/6/2014 by Fireborne
    by Fireborne

    The picture on the site is wrong these are the new CMS 1500 forms

    Was this review helpful? (4) (0)
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    Fireborne
    Would recommend to a friend? Yes
    7/15/2012

    Customer review by ChassidyH

    5.0 stars 7/15/2012 by ChassidyH
    by ChassidyH

    Surprised me that Walmart sold these forms but they are the required forms for submitting medical claims. Great deal!!!

    Was this review helpful? (2) (0)
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    ChassidyH
    Tampa,fl
    Would recommend to a friend? Yes
    Age:25 - 34
    Ownership:2 - 7 weeks
    Gender:Female
    Usage:Every day
    Good Deal
    4/4/2013

    Customer review by biller77

    5.0 stars 4/4/2013 by biller77
    by biller77
    Verified purchaser
    Verified purchaser
    Customer has been confirmed to have purchased the item from Walmart.

    These forms are the same ones you would pay more for elsewhere. The red color is a little lighter than other ones, but not a problem

    Was this review helpful? (0) (0)
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    biller77
    Roseville,CA
    Would recommend to a friend? Yes
    Age:35 - 44
    Ownership:2 - 3 months
    Gender:Female
    Usage:Every day
    Verified purchaser
    Verified purchaser
    Customer has been confirmed to have purchased the item from Walmart.
    CMS 1500
    4/4/2013

    Customer review by DrSpinalTap

    5.0 stars 4/4/2013 by DrSpinalTap
    by DrSpinalTap
    Verified purchaser
    Verified purchaser
    Customer has been confirmed to have purchased the item from Walmart.

    A must to have at my practice for the insurance companies that aren't part of the electronic world like the rest of us.

    Was this review helpful? (0) (0)
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    DrSpinalTap
    Little Rock, AR
    Would recommend to a friend? Yes
    Age:25 - 34
    Ownership:11 - 12 months
    Gender:Male
    Usage:Once per week
    Verified purchaser
    Verified purchaser
    Customer has been confirmed to have purchased the item from Walmart.
    3/11/2012

    Customer review by clairesilv

    1.0 stars 3/11/2012 by clairesilv
    by clairesilv

    fast delivery, product as described

    Was this review helpful? (0) (5)
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    Was this review helpful?
    clairesilv
    Would recommend to a friend? Yes
    1-5 of 6 total reviews See all
    1-5 of 6 reviews

    Customer Reviews | 9 reviews | 4.6 out of 5

    Customer Reviews

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