{"product_id":"tops-cms-1500-health-insurance-claim-forms-for-laser-printer-8-5-x-11-inches-250-sheets-per-pack-50135rv-white","title":"TOPS CMS-1500 Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV),White","description":"\u003cdiv style=\"margin-bottom:20px;\"\u003e\n\u003cdiv style=\"display:-webkit-box;-webkit-line-clamp:2;-webkit-box-orient:vertical;overflow:hidden;line-height:1.6;\" id=\"desc-tops-cms-1500-health-insurance-claim-forms-for-laser-printer-8-5-x-11-inches-250-sheets-per-pack-50135rv-white\"\u003eThe TOPS CMS-1500 Health Insurance Claim Form is the standard paper claim form used to bill Medicare Fee-For-Service (FFS) Contractors when a paper claim is allowed. It is approved by the National Uniform Claim Committee (NUCC) and the Office of Management and Budget (OMB). Designed for use with a laser printer, the form is printed in red optical character recognition (OCR) ink on 20-lb., white bond paper. It is 8-1\/2\" x 11\" and comes 250 forms per pack. This version (02\/12) went into use January 6, 2014.\u003c\/div\u003e\n\u003cspan style=\"color:#007aff;cursor:pointer;font-size:14px;\" onclick=\"var el=document.getElementById('desc-tops-cms-1500-health-insurance-claim-forms-for-laser-printer-8-5-x-11-inches-250-sheets-per-pack-50135rv-white');el.style.webkitLineClamp='unset';this.style.display='none';\"\u003eShow more\u003c\/span\u003e\n\u003c\/div\u003e\u003cdiv style=\"column-count:3;column-gap:6px;\"\u003e\n\u003cstyle\u003e@media (max-width: 768px) { div[style*=\"column-count:3\"] { column-count:2 !important; } }@media (max-width: 480px) { div[style*=\"column-count:3\"] { column-count:1 !important; } }\u003c\/style\u003e\n\u003cdiv style=\"break-inside:avoid;margin-bottom:6px;\"\u003e\u003cfigure style=\"margin:0;\"\u003e\u003cimg src=\"https:\/\/m.media-amazon.com\/images\/I\/81n34HqxmDL.jpg\" alt=\"TOPS CMS-1500 Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV),White\" loading=\"lazy\" style=\"width:100%;height:auto;display:block;border-radius:6px;\"\u003e\u003c\/figure\u003e\u003c\/div\u003e\n\u003cdiv style=\"break-inside:avoid;margin-bottom:6px;\"\u003e\u003cfigure style=\"margin:0;\"\u003e\u003cimg src=\"https:\/\/m.media-amazon.com\/images\/I\/81yJTxBxYHS.jpg\" alt=\"TOPS CMS-1500 Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV),White\" loading=\"lazy\" style=\"width:100%;height:auto;display:block;border-radius:6px;\"\u003e\u003c\/figure\u003e\u003c\/div\u003e\n\u003cdiv style=\"break-inside:avoid;margin-bottom:6px;\"\u003e\u003cfigure style=\"margin:0;\"\u003e\u003cimg src=\"https:\/\/m.media-amazon.com\/images\/I\/714F66Qd3AS.jpg\" alt=\"TOPS CMS-1500 Health Insurance Claim Forms for Laser Printer, 8.5 x 11 Inches, 250 Sheets per Pack (50135RV),White\" loading=\"lazy\" style=\"width:100%;height:auto;display:block;border-radius:6px;\"\u003e\u003c\/figure\u003e\u003c\/div\u003e\n\u003c\/div\u003e","brand":"Tops","offers":[{"title":"Default Title","offer_id":51261221011680,"sku":"B00IGJ891Y","price":15.65,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0802\/9077\/5264\/files\/81n34HqxmDL.jpg?v=1774836091","url":"https:\/\/ritewellbeing.com\/products\/tops-cms-1500-health-insurance-claim-forms-for-laser-printer-8-5-x-11-inches-250-sheets-per-pack-50135rv-white","provider":"RiteWellbeing.com","version":"1.0","type":"link"}