Click for larger image and other views

How can we improve our images or Product Specifications?

TOPS CMS-1500 Claim Forms Without Sensor Bar, Continuous 1-Part, Red OCR Ink, 3,000 Sheets Per Carton (50122R)

Be the first to review this item


Specifications for this item
Number of Items
Color Name
Part Number
Item Weight
0 pounds
025932501227 , 259325012278 , 999992402315
Brand Name
0259325012278 , 0025932501227 , 0999992402315

This item is no longer available

This item ships for FREE with 2-Day Shipping on orders over $50. (Details)

Want it delivered on Mon, Apr 20? Order in-stock items in the next 13 hrs 18 mins and choose One-Day Shipping at checkout.

  • Share

This item has already been added to

Update Quantity Cancel

Select a List Create New List

You can add a description later

Key Features

  • Continuous one ply CMS 1500 form
  • Printed in OCR red ink for scanning
  • Approved by CMS, NUCC and OMB
  • SFI¬†Certified Sourcing - Uses fiber from responsible and legal sources
  • 3,000 sheets per carton

Package Details

Shipping Weight: 35.8 pounds
Package Size: 12.5 x 12.25 x 10.25 inches

Product Description

TOPS CMS-1500 Health Insurance Claim Forms are approved by the National Uniform Claim Committee (NUCC) and the OMB. For use with laser printers, these forms are printed in red OCR ink on white 20# bond paper. They measure 8.5 x 11 inches and come 3,000 sheets per pack. Since 1952, TOPS has provided quality products and services to businesses throughout the world. TOPS continues that commitment providing innovative, high quality value-added products for the office, school and home. Whether it's notebooks, writing pads, record books, time cards, business forms, or any of the hundreds of items we offer, you can count on TOPS products to help.

How can we improve our Product Description?

Customer Reviews

There are no customer reviews yet.

Be the first to review this item

Go to the HomePage

Order by Phone
M-F 8am-10pm ET, Sat-Sun 8am-5pm ET 800-220-4242

My Account| Returns| Help

Website Feedback| Contact Us| Sell on AmazonSupply| Become an Affiliate

Privacy Notice| Conditions of Use

Follow Us 

© 2015, Inc. and its affiliates.