Office

Home > Office > Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 250 Forms Total

Cms-1500 Medicare/medicaid Forms For Laser Printers, One-part (no Copies), 8.5 X 11, 250 Forms Total

Vendor: TOPS™ Type: Office SKU: ESTOP50135RV

$19.72

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

Qty

Share 0 Tweet Pin it 0 Fancy +1

Description
Product Tags
Review

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

Tags: 0, 1, 1500-health-insurance-claim-form, 20-lb-bond, 250, 8-5-x-11, cms-1500, forms, insurance-forms, laser, laser-printer-compatible, m, ocr-red, one-part-no-copies, recordkeeping-reference-materials, unbound, undated, white

You may also like

Commercial Wire Shelving, Four-shelf, 36w X 18d X 72h, Black

$236.70

{"id":9663895732510,"title":"Commercial Wire Shelving, Four-shelf, 36w X 18d X 72h, Black","handle":"commercial-wire-shelving-four-shelf-36w-x-18d-x-72h-black","description":"Shelving unit fits perfectly into general inventory storage rooms, food service pantries, maintenance sheds and garages. Commercial-strength rating ensures stability. Open wire design helps minimize dust accumulation. Tool-less, snap-together assembly is easy and hassle-free.\u003cbr\u003e\u003cb\u003ePackage Includes:\u003c\/b\u003e (4) Wire Shelves; (4) Metal Posts; (16) Shelf Clips","published_at":"2024-12-24T08:23:20-06:00","created_at":"2024-12-24T08:23:21-06:00","vendor":"Safco®","type":"Office","tags":["(16) Shelf Clips","(4) Metal Posts","(4) Wire Shelves","0%","000 lbs","18\"","2","36\"","4","500 lbs","72\"","Black","F","Multiuse Shelving","Open","Pack \u0026 Ship","Snap-Together Clips","Welded Steel Wire"],"price":23670,"price_min":23670,"price_max":23670,"available":true,"price_varies":false,"compare_at_price":null,"compare_at_price_min":0,"compare_at_price_max":0,"compare_at_price_varies":false,"variants":[{"id":49448242610462,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"ESSAF5276BL","requires_shipping":true,"taxable":true,"featured_image":{"id":59867765735710,"product_id":9663895732510,"position":1,"created_at":"2024-12-24T08:23:21-06:00","updated_at":"2024-12-24T08:23:21-06:00","alt":null,"width":500,"height":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF5276BL.jpg?v=1735050201","variant_ids":[49448242610462]},"available":true,"name":"Commercial Wire Shelving, Four-shelf, 36w X 18d X 72h, Black","public_title":null,"options":["Default Title"],"price":23670,"weight":22680,"compare_at_price":null,"inventory_management":"shopify","barcode":"073555527629","featured_media":{"alt":null,"id":51990487466270,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF5276BL.jpg?v=1735050201"}},"requires_selling_plan":false,"selling_plan_allocations":[]}],"images":["\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF5276BL.jpg?v=1735050201","\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF5276BL_1.jpg?v=1735050203"],"featured_image":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF5276BL.jpg?v=1735050201","options":["Title"],"media":[{"alt":null,"id":51990487466270,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF5276BL.jpg?v=1735050201"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF5276BL.jpg?v=1735050201","width":500},{"alt":null,"id":51990487499038,"position":2,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF5276BL_1.jpg?v=1735050203"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF5276BL_1.jpg?v=1735050203","width":500}],"requires_selling_plan":false,"selling_plan_groups":[],"content":"Shelving unit fits perfectly into general inventory storage rooms, food service pantries, maintenance sheds and garages. Commercial-strength rating ensures stability. Open wire design helps minimize dust accumulation. Tool-less, snap-together assembly is easy and hassle-free.\u003cbr\u003e\u003cb\u003ePackage Includes:\u003c\/b\u003e (4) Wire Shelves; (4) Metal Posts; (16) Shelf Clips"}

Grande Central Filing System, 7 Sections, Legal/letter Size, 16.63" X 4.75" X 38.25", Black, 7/pack

Sold Out

Ds Transfer Multi Purpose Paper, 105 Gsm, 24" X 300 Ft, Matte White

$76.36

{"id":9662233313566,"title":"Ds Transfer Multi Purpose Paper, 105 Gsm, 24\" X 300 Ft, Matte White","handle":"ds-transfer-multi-purpose-paper-105-gsm-24-x-300-ft-matte-white","description":"Epson® DS Transfer Multi Purpose paper is an extremely high quality, wide color gamut, water based sublimation transfer paper. Finished output provides high ink transferability on an extremely low cockling base. It is optimized for transferring onto multiple sublimation substrates.","published_at":"2024-12-19T08:36:17-06:00","created_at":"2024-12-19T08:36:18-06:00","vendor":"Epson®","type":"Office","tags":["0%","1","105 gsm","24\" x 300 ft","5.3","7200","87","9200","Dye-Sublimation Transfer Printers","Epson® SureColor® Printers F6200","M","Matte","N","No","Paper \u0026 Printable Media","White","Wide Format Dye Sub Rolls"],"price":7636,"price_min":7636,"price_max":7636,"available":true,"price_varies":false,"compare_at_price":null,"compare_at_price_min":0,"compare_at_price_max":0,"compare_at_price_varies":false,"variants":[{"id":49440962806046,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"ESEPSS045480N","requires_shipping":true,"taxable":true,"featured_image":{"id":59848354464030,"product_id":9662233313566,"position":1,"created_at":"2024-12-19T08:36:18-06:00","updated_at":"2024-12-19T08:36:18-06:00","alt":null,"width":500,"height":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N.jpg?v=1734618978","variant_ids":[49440962806046]},"available":true,"name":"Ds Transfer Multi Purpose Paper, 105 Gsm, 24\" X 300 Ft, Matte White","public_title":null,"options":["Default Title"],"price":7636,"weight":7031,"compare_at_price":null,"inventory_management":"shopify","barcode":"010343990760","featured_media":{"alt":null,"id":51977579888926,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N.jpg?v=1734618978"}},"requires_selling_plan":false,"selling_plan_allocations":[]}],"images":["\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N.jpg?v=1734618978","\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N_1.jpg?v=1734618980","\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N_2.jpg?v=1734618981","\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N_3.jpg?v=1734618982"],"featured_image":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N.jpg?v=1734618978","options":["Title"],"media":[{"alt":null,"id":51977579888926,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N.jpg?v=1734618978"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N.jpg?v=1734618978","width":500},{"alt":null,"id":51977579954462,"position":2,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N_1.jpg?v=1734618980"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N_1.jpg?v=1734618980","width":500},{"alt":null,"id":51977579987230,"position":3,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N_2.jpg?v=1734618981"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N_2.jpg?v=1734618981","width":500},{"alt":null,"id":51977580019998,"position":4,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N_3.jpg?v=1734618982"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESEPSS045480N_3.jpg?v=1734618982","width":500}],"requires_selling_plan":false,"selling_plan_groups":[],"content":"Epson® DS Transfer Multi Purpose paper is an extremely high quality, wide color gamut, water based sublimation transfer paper. Finished output provides high ink transferability on an extremely low cockling base. It is optimized for transferring onto multiple sublimation substrates."}

Organized Up Slash Jackets, Letter Size, Manila, 25/pack

$26.69

{"id":9657738658078,"title":"Organized Up Slash Jackets, Letter Size, Manila, 25\/pack","handle":"organized-up-slash-jackets-letter-size-manila-25-pack","description":"Keep documents safe, organized and within reach. Smead's Organized Up Notes Slash File Jackets are designed to help you keep files organized. These file jackets have an angled front for viewing documents while keeping papers tidy. Sealed on the sides and bottom, these pockets keep your papers secure and in order. Die cut to hold business cards, these file jackets are excellent for real estate, presentations and sales pitches. A simple change can boost your productivity and improve your organization. Contain post-consumer recycled material.","published_at":"2024-12-13T08:53:55-06:00","created_at":"2024-12-13T08:53:56-06:00","vendor":"Smead","type":"Office","tags":["0%","1","10%","11-pt Paper","11.5\"","9.75\"","File Folders","File Jackets","Letter","M","Manila","N","Portable \u0026 Storage Box Files","Tabless","This product was made using wood sourced from a certified managed forest.","Unpunched","Untabbed"],"price":2669,"price_min":2669,"price_max":2669,"available":true,"price_varies":false,"compare_at_price":null,"compare_at_price_min":0,"compare_at_price_max":0,"compare_at_price_varies":false,"variants":[{"id":49426569232670,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"ESSMD75430","requires_shipping":true,"taxable":true,"featured_image":{"id":59811238805790,"product_id":9657738658078,"position":1,"created_at":"2024-12-13T08:53:56-06:00","updated_at":"2024-12-13T08:53:56-06:00","alt":null,"width":500,"height":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430.jpg?v=1734101636","variant_ids":[49426569232670]},"available":true,"name":"Organized Up Slash Jackets, Letter Size, Manila, 25\/pack","public_title":null,"options":["Default Title"],"price":2669,"weight":454,"compare_at_price":null,"inventory_management":"shopify","barcode":"086486754309","featured_media":{"alt":null,"id":51952198517022,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430.jpg?v=1734101636"}},"requires_selling_plan":false,"selling_plan_allocations":[]}],"images":["\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430.jpg?v=1734101636","\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430_1.jpg?v=1734101639","\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430_2.jpg?v=1734101640","\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430_3.jpg?v=1734101642"],"featured_image":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430.jpg?v=1734101636","options":["Title"],"media":[{"alt":null,"id":51952198517022,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430.jpg?v=1734101636"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430.jpg?v=1734101636","width":500},{"alt":null,"id":51952198582558,"position":2,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430_1.jpg?v=1734101639"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430_1.jpg?v=1734101639","width":500},{"alt":null,"id":51952198648094,"position":3,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430_2.jpg?v=1734101640"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430_2.jpg?v=1734101640","width":500},{"alt":null,"id":51952198713630,"position":4,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430_3.jpg?v=1734101642"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSMD75430_3.jpg?v=1734101642","width":500}],"requires_selling_plan":false,"selling_plan_groups":[],"content":"Keep documents safe, organized and within reach. Smead's Organized Up Notes Slash File Jackets are designed to help you keep files organized. These file jackets have an angled front for viewing documents while keeping papers tidy. Sealed on the sides and bottom, these pockets keep your papers secure and in order. Die cut to hold business cards, these file jackets are excellent for real estate, presentations and sales pitches. A simple change can boost your productivity and improve your organization. Contain post-consumer recycled material."}

Cold Pack, 4 X 6, 96/carton

$43.90

{"id":9654742188318,"title":"Cold Pack, 4 X 6, 96\/carton","handle":"cold-pack-4-x-6-96-carton","description":"A non-toxic water-based gel refrigerant shipping pack specifically designed and engineered for cold transport and storage of perishable items and shipping heat sensitive products. Designed as a safer alternative to dry ice, Gel Blox Cold Shipping Packs are great for coolers and lunch boxes and ideal for cold transport of various foods, pharmaceuticals, vaccines, blood samples, medicines, chocolates, meats and other perishable items.","published_at":"2024-12-10T10:13:30-06:00","created_at":"2024-12-10T10:13:32-06:00","vendor":"Gel Blox™","type":"Office","tags":["0%","4 x 6","4\"","6 oz","6\"","Gel Blox™ Cold Pack","M","N","Pack \u0026 Ship","Shipping Cold Packs"],"price":4390,"price_min":4390,"price_max":4390,"available":true,"price_varies":false,"compare_at_price":null,"compare_at_price_min":0,"compare_at_price_max":0,"compare_at_price_varies":false,"variants":[{"id":49417420570910,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"ESGEXGB4696","requires_shipping":true,"taxable":true,"featured_image":{"id":59791366062366,"product_id":9654742188318,"position":1,"created_at":"2024-12-10T10:13:32-06:00","updated_at":"2024-12-10T10:13:32-06:00","alt":null,"width":500,"height":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESGEXGB4696.jpg?v=1733847212","variant_ids":[49417420570910]},"available":true,"name":"Cold Pack, 4 X 6, 96\/carton","public_title":null,"options":["Default Title"],"price":4390,"weight":14102,"compare_at_price":null,"inventory_management":"shopify","barcode":"010824946965","featured_media":{"alt":null,"id":51938825732382,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESGEXGB4696.jpg?v=1733847212"}},"requires_selling_plan":false,"selling_plan_allocations":[]}],"images":["\/\/savedollardeals.com\/cdn\/shop\/files\/ESGEXGB4696.jpg?v=1733847212"],"featured_image":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESGEXGB4696.jpg?v=1733847212","options":["Title"],"media":[{"alt":null,"id":51938825732382,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESGEXGB4696.jpg?v=1733847212"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESGEXGB4696.jpg?v=1733847212","width":500}],"requires_selling_plan":false,"selling_plan_groups":[],"content":"A non-toxic water-based gel refrigerant shipping pack specifically designed and engineered for cold transport and storage of perishable items and shipping heat sensitive products. Designed as a safer alternative to dry ice, Gel Blox Cold Shipping Packs are great for coolers and lunch boxes and ideal for cold transport of various foods, pharmaceuticals, vaccines, blood samples, medicines, chocolates, meats and other perishable items."}

E-z Sort Steel Mail Sorter Module, 25 Compartments, 57.5 X 13 X 14.25, Light Gray

$522.79

{"id":9654725738782,"title":"E-z Sort Steel Mail Sorter Module, 25 Compartments, 57.5 X 13 X 14.25, Light Gray","handle":"e-z-sort-steel-mail-sorter-module-25-compartments-57-5-x-13-x-14-25-light-gray","description":"Extra-wide, 11\" mail trays form any combination of compartments up to 25. Can be used stand-alone or stacked. Includes 20 molded compartment trays, each with finger cutouts and label holders. Shelves adjust in 3\/4\" increments.\u003cbr\u003e\u003cbr\u003e\u003cb\u003eNote: This is a non-returnable item.\u003c\/b\u003e","published_at":"2024-12-10T10:02:18-06:00","created_at":"2024-12-10T10:02:20-06:00","vendor":"Safco®","type":"Office","tags":["0","10%","13\"","14.25\"","25","57.5\"","Gray","Light Gray","Mail Literature Sorters","Open Front Mail","Pack \u0026 Ship","Safco® E-Z Sort Riser","Safco® E-Z Sort Satellite Mail Station Base","Safco® E-Z Sort Sorting Table","Safco® Tabletop","Steel","V"],"price":52279,"price_min":52279,"price_max":52279,"available":true,"price_varies":false,"compare_at_price":null,"compare_at_price_min":0,"compare_at_price_max":0,"compare_at_price_varies":false,"variants":[{"id":49417374302494,"title":"Default Title","option1":"Default Title","option2":null,"option3":null,"sku":"ESSAF7751GR","requires_shipping":true,"taxable":true,"featured_image":{"id":59791259107614,"product_id":9654725738782,"position":1,"created_at":"2024-12-10T10:02:20-06:00","updated_at":"2024-12-10T10:02:20-06:00","alt":null,"width":500,"height":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF7751GR.jpg?v=1733846540","variant_ids":[49417374302494]},"available":true,"name":"E-z Sort Steel Mail Sorter Module, 25 Compartments, 57.5 X 13 X 14.25, Light Gray","public_title":null,"options":["Default Title"],"price":52279,"weight":26308,"compare_at_price":null,"inventory_management":"shopify","barcode":"073555775136","featured_media":{"alt":null,"id":51938769142046,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF7751GR.jpg?v=1733846540"}},"requires_selling_plan":false,"selling_plan_allocations":[]}],"images":["\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF7751GR.jpg?v=1733846540"],"featured_image":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF7751GR.jpg?v=1733846540","options":["Title"],"media":[{"alt":null,"id":51938769142046,"position":1,"preview_image":{"aspect_ratio":1.0,"height":500,"width":500,"src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF7751GR.jpg?v=1733846540"},"aspect_ratio":1.0,"height":500,"media_type":"image","src":"\/\/savedollardeals.com\/cdn\/shop\/files\/ESSAF7751GR.jpg?v=1733846540","width":500}],"requires_selling_plan":false,"selling_plan_groups":[],"content":"Extra-wide, 11\" mail trays form any combination of compartments up to 25. Can be used stand-alone or stacked. Includes 20 molded compartment trays, each with finger cutouts and label holders. Shelves adjust in 3\/4\" increments.\u003cbr\u003e\u003cbr\u003e\u003cb\u003eNote: This is a non-returnable item.\u003c\/b\u003e"}