Material Handling Solutions Llc 
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Product Categories:
  • Abrasives
  • Adhesives, Sealants and Tapes
  • Barriers
  • Bins
  • Breakroom and Janitorial
  • Cabinets
  • Cafeteria Tables
  • Canopies/Shelters
  • Cantilever Racks
  • Carts
  • Casters
  • Chairs & Stools
  • Chemicals, Lubricants and Paints
  • Cleaners / Wipes
  • Commercial Laundry Machines
  • Containers
  • Conveyors
  • Cranes
  • Desks / Tables
  • Display Shelving
  • Dock Equipment
  • Dollies
  • Drums & Equipment
  • Electrical and Lighting
  • Electrical Tools
  • Fans & Heaters
  • Fasteners, Clamps and Straps
  • Forklifts
  • Hand Tools
  • Hand Trucks
  • Hoists & Equipment
  • Hose & Cord Reels
  • HVAC
  • Janitorial Equipment
  • Janitorial Supplies
  • Ladders
  • Lifts
  • Lifts / Lifting Equipment
  • Lockers
  • Marking Tools
  • Material Handling
  • Matting
  • Measuring and Leveling Tools
  • Mezzanines
  • Miscellaneous
  • Mobile Cabinets
  • MRO Supplies
  • Office Furniture
  • Office Supplies
  • Oilfield
  • Pallet Racks
  • Pallet Trucks
  • Pallets & Equipment
  • Plastic Pallets
  • Plumbing Equipment
  • Pneumatics
  • Power Tools
  • Pumps
  • Rack Systems
  • Safety and Security
  • Safety Equipment
  • Scales
  • Shelving
  • Shipping Supplies
  • Shop Desks & Tables
  • Strobe Lights
  • Tables & Table Movers
  • Tape
  • Technology
  • Tilt Trucks & Hoppers
  • Tool Control
  • Tools
  • Trucks
  • Used Forklifts
  • Warehouse Equipment
  • Welding Supplies
  • Wipes & Cleaners
  • Wire Partitions
  • Work Benches



    • Tops® Centers For Medicare And Medicaid Services (Cms) Forms printable version

    • 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.
    CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning.

    Click on the Product No(s). below to view further information and order now!


    Product No. TOP50129R
    Global Product Type
    Form Type Insurance Claim
    Format Continuous Form Set
    Form Size (W x H)
    Form Size 8 1/2 x 11
    Forms Per Page
    Principal Heading(s) 1500 Health Insurance Claim Form
    Form Quantity
    Layout One Form per Sheet
    Copy Type Black Print Carbonless Duplicate
    Punching Dot Matrix Holes
    Copy Types
    Printer Compatibility Dot Matrix
    Paper Stock 20-lb.
    Paper Color(s) White
    Print and Ruling Color(s) OCR Red
    Form Special Features
    Pre-Consumer Recycled Content Percent 0 %
    Post-Consumer Recycled Content Percent 0 %
    Total Recycled Content Percent 0 %
    Price
    PK$22.80


    Product No. TOP50135R
    Global Product Type Forms-Insurance Claim
    Form Type Insurance Claim
    Format Loose Form
    Form Size (W x H) 8 1/2 in x 11 in
    Form Size 8 1/2 x 11
    Forms Per Page 1
    Principal Heading(s) 1500 Health Insurance Claim Form
    Form Quantity 250
    Layout One Form per Sheet
    Copy Type
    Punching
    Copy Types
    Printer Compatibility Laser
    Paper Stock 20-lb.
    Paper Color(s) White
    Print and Ruling Color(s) OCR Red
    Form Special Features For Laser Printers
    Pre-Consumer Recycled Content Percent 0 %
    Post-Consumer Recycled Content Percent 0 %
    Total Recycled Content Percent 0 %
    Price
    PK$22.10


    Product No. TOP50126R
    Global Product Type Forms-Insurance Claim
    Form Type
    Format
    Form Size (W x H) 8 1/2 in x 11 in
    Form Size
    Forms Per Page 1
    Principal Heading(s) 1500 Health Insurance Claim Form
    Form Quantity 500
    Layout One Form per Sheet
    Copy Type
    Punching
    Copy Types
    Printer Compatibility Laser
    Paper Stock 20-lb.
    Paper Color(s) White
    Print and Ruling Color(s) OCR Red
    Form Special Features For Laser Printers
    Pre-Consumer Recycled Content Percent 0 %
    Post-Consumer Recycled Content Percent 0 %
    Total Recycled Content Percent 0 %
    Price
    PK$40.08


    Product No. TOP50124R
    Global Product Type Forms-Insurance Claim
    Form Type
    Format
    Form Size (W x H) 8 1/2 in x 11 in
    Form Size
    Forms Per Page 1
    Principal Heading(s) 1500 Health Insurance Claim Form
    Form Quantity 1500
    Layout One Form per Sheet
    Copy Type
    Punching Dot Matrix Holes
    Copy Types Carbonless Duplicate
    Printer Compatibility Dot Matrix
    Paper Stock 20-lb.
    Paper Color(s) White
    Print and Ruling Color(s) OCR Red
    Form Special Features Carbonless Duplicate
    Pre-Consumer Recycled Content Percent 0 %
    Post-Consumer Recycled Content Percent 0 %
    Total Recycled Content Percent 0 %
    Price
    CT$180.49


    Product No. TOP50122R
    Global Product Type Forms-Insurance Claim
    Form Type
    Format
    Form Size (W x H) 8 1/2 in x 11 in
    Form Size
    Forms Per Page 1
    Principal Heading(s) 1500 Health Insurance Claim Form
    Form Quantity 3000
    Layout One Form per Sheet
    Copy Type
    Punching Dot Matrix Holes
    Copy Types
    Printer Compatibility Dot Matrix
    Paper Stock 20-lb.
    Paper Color(s) White
    Print and Ruling Color(s) OCR Red
    Form Special Features Continuous Form
    Pre-Consumer Recycled Content Percent 0 %
    Post-Consumer Recycled Content Percent 0 %
    Total Recycled Content Percent 0 %
    Price
    CT$178.96



     

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