TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)
$51.89
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Highlights
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- Satisfy record keeping requirements with these health insurance claim forms
- Number of parts: 1
- Contains 500 forms per package
MADE IN AMERICA
TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)
Item #: 309934Model #: 50126RV
Final price is $51.89
500/pack
Free Returns
Online. In store. Always free.
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About this product
Process claims easily with these TOPS CMS-1500 red OCR ink 20-pound stock health insurance claim forms.
Keep your human resource or billing department stocked with these health insurance claim forms. The preprinted fields provide spaces for names, addresses, service codes and other essential information, and the red OCR ink is ideal for scanning tasks. These TOPS CMS-1500 forms are compatible with laser printers, so your staff can populate and print claims with crisp, clear results.
- Satisfy record keeping requirements with these health insurance claim forms
- Number of parts: 1
- Contains 500 forms per package
- Printed in OCR red ink on laser-cut white paper for scanning
- Dimensions: 11"H x 8.5"W
- Approved by NUCC, OMB, and CMS
- SFI certified sourcing
- Made in the USA
Frequently bought together
Price is $85.49
Unit of measure 50/Box
Free delivery by Wed, Oct 08
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Over 30
Price is $31.79
Delivery by Wed, Oct 08
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Price is $11.59
Delivery by Wed, Oct 08
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Price is $18.39
Unit of measure Dozen Price per unit $1.53/Pen
Delivery by Wed, Oct 08
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Over 30
Price is $18.99
Delivery by Mon, Oct 13
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Over 30
Price is $100.39
Unit of measure 25/Box
Free delivery by Wed, Oct 08
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2026 Blue Sky Sugarina 15" x 12" Monthly Desk Calendar (154985)Â is New at Staples
Price is $10.19
Delivery by Wed, Oct 08
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Over 30
Price is $28.19
Delivery by Wed, Oct 08
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Over 30
Price is $50.39
Unit of measure 50/Box
Free delivery by Fri, Oct 10
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Over 30
Price is $9.69
Unit of measure 40/Pack Price per unit $0.24/Cup
Delivery by Wed, Oct 08
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Over 30
Price is $8.59
Unit of measure 5/Pack Price per unit $1.72/Highlighter
Delivery by Wed, Oct 08
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Over 30
Price is $66.29
Unit of measure 250/Box Price per unit $0.26/Envelope
Free delivery by Wed, Oct 08
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Over 30
Price is $3.19
Delivery by Wed, Oct 08
30-min pickup
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Over 30
Price is $20.49
Delivery by Wed, Oct 08
30-min pickup
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Over 30
Price is $18.49
Unit of measure 24/Box
Delivery by Wed, Oct 08
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Over 30
Price is $32.79
Delivery by Mon, Oct 13
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2026 Blue Sky Tula 15" x 12" Monthly Desk Calendar (144076-26)Â is New at Staples
Price is $15.39
Delivery by Wed, Oct 08
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Over 30
Price is $21.99
Unit of measure 24/Box Price per unit $0.92/Pod
Delivery by Wed, Oct 08
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Over 30
Price is $18.79
Delivery by Wed, Oct 08
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2026 Blue Sky Baccara 11" x 8.75" Monthly Desk Calendar (116052-26)Â is New at Staples
Price is $10.19
Delivery by Wed, Oct 08
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Compare similar items
| Attributes | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) |
|---|---|---|---|---|---|
Your product TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) Price is $51.89 |  Price is $26.99 |  Price is $24.79 |  Price is $48.09 |  Price is $91.89 | |
| Reviews | |||||
| Delivery Information | Free delivery by Wed, Oct 08 | Delivery by Tue, Oct 14 | Delivery by Wed, Oct 08 | Free delivery by Tue, Oct 14 | Free delivery by Tue, Oct 14 |
| Available in my store | No | No | Yes | No | No |
| Medical Form Pack Size | 500 | 250 | 100 | 500 | 2500 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| True Color | White / Red | White / Red | White / Red | White / Red | White / Red |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Form Size | 8 1 / 2" x 11" | Data not available | 8 1 / 2" x 11" | Data not available | 8 1 / 2" x 11" |
| Print Type | Laser | Laser | Data not available | Laser | Laser |
| Pack Qty | 1 | 250 | 100 | 500 | 2500 |
| Series or Collection | CMS-1500 | Data not available | CMS-1500 | Data not available | CMS-1500 |
| Next Day Delivery | Yes | Data not available | Yes | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $15.69
Delivery by Thu, Oct 16
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Price is $20.19
Delivery by Thu, Oct 16
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Price is $15.09
Unit of measure 50/Pack
Delivery by Mon, Oct 13
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Price is $52.19
Unit of measure 50/Pack
Free delivery by Thu, Oct 16
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Over 30
Price is $21.95
Delivery by Thu, Oct 16
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Price is $166.39
Free delivery by Thu, Oct 16
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Over 30
Price is $45.79
Unit of measure 100/Pack
Free delivery by Mon, Oct 13
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Over 30
Price is $59.59
Free delivery by Thu, Oct 16
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Over 30
Price is $16.49
Unit of measure 100/Pack
Delivery by Mon, Oct 13
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Over 30
Price is $306.69
Free delivery by Thu, Oct 16
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Price is $17.39
Unit of measure 50/Pack
Delivery by Mon, Oct 13
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Price is $21.89
Unit of measure 25/Pack
Delivery by Mon, Oct 13
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Price is $15.99
Unit of measure 10/Pack
Delivery by Mon, Oct 13
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Over 30
Price is $17.95
Delivery by Thu, Oct 16
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Price is $33.29
Delivery by Thu, Oct 16
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