TOPS HCFA Claim Form Without Sensor Bar

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TOPS HCFA Claim Form Without Sensor Bar

TOPS Centers for Medicare and Medicaid Services Forms, 8 1/2 x 11, 500 Forms/Pack

Yes - 1 Part - Yes - 11" x 8.50" Sheet Size - White Sheet(s) - Red Print Color - 500 / Pack - View Complete Details

Product Number: TOP50126RV

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Estimated Delivery - 1 business day(s) - Fri 4/20 2 business days - Mon 4/23

Shipping - This item is eligible for Free Shipping on orders over $45


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Product Details

Made in
Made in America

This product was manufactured in the United States.

TOPS HCFA Claim Form Without Sensor Bar - 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. Printed front and back in red OCR ink on white 20 lb. bond without sensor bar. Compatible with laser printers.

  • 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.
  • OCR red ink for scanning.
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by PowerReviews
TOPS HCFA Claim Form Without Sensor Bar

(based on 2 reviews)

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Reviewed by 2 customers

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Excellent service


from Bakersfield, CA

Verified Buyer

Comments about TOPS HCFA Claim Form Without Sensor Bar:

Excellent quality. I use these for billing claims to insurance companies.


Exactly as expected


from Portland, OR

Verified Buyer


  • Fast Delivery
  • Good Price
  • Standard Forms


    Best Uses

      Comments about TOPS HCFA Claim Form Without Sensor Bar:

      Exactly as advertised, these are the standard forms in the industry. They were quickly shipped, inexpensive and easy to order.

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      Question & Answer

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      1 Question | 1 Answer
      Displaying question 1
      • Q:

        Is this the 2.12 version?
        Asked on 3/5/2015 by Tom

        1 answer

        • A:

          Yes, I have ordered them twice and they were current version.

          Answered on 7/29/2016 by Ww from Austin, TX
      Displaying question 1

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