close popup
Skip to main content
Skip to footer

Quill+

Members get the lowest $34.99 paper price + free shipping. Tell Me More

Close
Limited time offer

Free Shipping. No Minimum.

Code: FREESHIP

Offer good through 10/30/22.

TOPS CMS-1500 1 Part Health Insurance Claims 500/Pack (TOP 50126RV)

Order TOPS CMS-1500 1 Part Health Insurance Claims 500/Pack (TOP 50126RV) today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-309934
  Model #: 50126RV
Brand: TOPS
TOPS CMS-1500 1 Part Health Insurance Claims 500/Pack (TOP 50126RV)
$60.99 Pack
Enter Zip Code

Estimated Delivery Date:
Parcel
Description
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
Brand : TOPS Customizable : No HR Form Pack Size : 500 HR Form Type : Health Insurance Claims
True Color : White/Red
Weight : 5.19 lbs. per Pack
loadingLoading...