https://www.staples-3p.com/s7/is/image/Staples/43D41C18-579A-4B95-856C2FF6A9BDA1E7_sc7
TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)
$51.89
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
  • 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
First time subscribers save 5% off your entire AutoRestock order! Save up to 10% on all following orders. Learn more
 

Free Returns

Online. In store. Always free.

Learn More

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
    Specifications table
    Attribute nameAttribute value
    Medical Form Pack Size 500
    Length in Inches 11
    Series or Collection
    CMS-1500
    Pack Qty 1
    Number of Parts 1
    Form Size
    8 1/2" x 11"
    Width in Inches
    8.5
    Medical Form Type Health Insurance Claims
    Print Type Laser
    True Color
    White/Red
    Next Day Delivery Yes

    Compare similar items

    Product specifications table
    Attributes TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) 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) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
    Your product
    Price is $51.89
    Reviews
    4.92
    12
    4.69
    13
    4.84
    58
    4.74
    34
    4.8
    82
    Delivery Information
    Free delivery by Tue, Apr 07
    Delivery by Tue, Apr 07
    Free delivery by Tue, Apr 14
    Free delivery by Tue, Apr 14
    Free delivery by Tue, Apr 07
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Pack Size
    500
    250
    2500
    500
    1000
    Medical Form Type
    Health Insurance Claims
    Consent
    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
    Red and White
    White / Red
    White / Red
    White / Red
    Print Type
    Laser
    Continuous
    Laser
    Laser
    Laser
    Pack Qty
    1
    1
    2500
    500
    1000
    Number of Parts
    1
    1
    1
    1
    1
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Data not available
    Data not available
    Series or Collection
    CMS-1500
    Centers for Medicare and Medicaid Services
    CMS-1500
    Data not available
    Data not available
    Next Day Delivery
    Yes
    Yes
    Data not available
    Data not available
    Yes
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart