TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)
$51.89
1
Highlights
View all details
- 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.
Learn More
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
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 Fri, Oct 31
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $31.79
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $11.59
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $100.39
Unit of measure 25/Box
Free delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $18.39
Unit of measure Dozen Price per unit $1.53/Pen
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $18.99
Delivery by Fri, Oct 31
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $50.39
Unit of measure 50/Box
Free delivery by Thu, Oct 30
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $28.19
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $10.19
Delivery by Tue, Oct 28
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $3.19
Delivery by Tue, Oct 28
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
2025-2026 Blue Sky Ashley G 11" x 8.75" Academic Monthly Desk Pad Calendar (150160-A26)Â is In-store only
Price is $10.19
See alternate delivery items
30-min pickup
Price is $15.39
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
2026 Blue Sky Kelly Ventura Gardens 8.5" x 11" Calendar Year Weekly & Monthly Planner, Plastic Cover, Multicolored (153064)Â is In-store only
Price is $20.49
See alternate delivery items
30-min pickup
Price is $10.19
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $8.79
Unit of measure 50/Box
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $30.99
Unit of measure 20/Box Price per unit $1.55/Hanging File Folder
Delivery by Tue, Oct 28
30-min pickup
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $21.99
Unit of measure 24/Box Price per unit $0.92/Pod
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $29.29
Unit of measure 60/Carton
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $24.99
Delivery by Tue, Oct 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Compare similar items
| Attributes | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) |
|---|---|---|---|---|---|
Your product TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) Price is $51.89 |  Price is $24.79 |  Price is $34.09 |  Price is $91.89 |  Price is $48.09 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Oct 28 | Delivery by Tue, Oct 28 | Delivery by Tue, Oct 28 | Free delivery by Mon, Nov 03 | Free delivery by Mon, Nov 03 |
| Available in my store | No | Yes | No | No | No |
| Medical Form Pack Size | 500 | 100 | 250 | 2500 | 500 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| True Color | White / Red | White / Red | White | White / Red | White / Red |
| Print Type | Laser | Data not available | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | Data not available | 1 | 1 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available |
| Pack Qty | 1 | 100 | Data not available | 2500 | 500 |
| Series or Collection | CMS-1500 | CMS-1500 | CMS-1500 | CMS-1500 | Data not available |
| Next Day Delivery | Yes | Yes | Yes | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $17.89
Delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $20.19
Delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $17.39
Unit of measure 50/Pack
Delivery by Fri, Oct 31
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $166.39
Free delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $21.69
Delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $59.59
Free delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $100.39
Unit of measure 25/Pack
Free delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $26.49
Unit of measure 50/Pack
Delivery by Fri, Oct 31
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $29.29
Delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $110.59
Free delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $21.95
Delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $52.19
Unit of measure 50/Pack
Free delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $19.59
Delivery by Wed, Nov 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $33.39
Unit of measure 50/Pack
Delivery by Fri, Oct 31
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Price is $24.49
Unit of measure 50/Pack
Delivery by Fri, Oct 31
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30