TOPS Centers for Medicare and Medicaid Services Claim Forms, CMS1500/HCFA1500, 8.5 x 11, 500 Forms/Pack

TOPS™SKU: TOP50126RV

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.
More details
Price:
Sale price$38.49 / pack
Stock:
In stock (722 units), ready to be shipped

Fast 2-Business Day Delivery if ordered within

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Product details

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning.

  • CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits.
  • Top sensor bar for microfiche duplication, as required in some states.
  • OCR red ink for scanning.

Information & Guides


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Item Specifications
Global Product Type Forms-Insurance
Printer Compatibility Laser
Principal Heading(s) 1500 Health Insurance Claim Form
Form Size 8.5 x 11
Forms Per Page 1
Form Quantity 500
Layout One Form per Sheet
Paper Stock 20 lb
Paper Color(s) White
Print and Ruling Color(s) OCR Red
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
Special Features For Laser Printers
Manufacturer Info
Brand TOPS™
Manufacturer TOPS BUSINESS FORMS
Manufacturer Website www.tops-products.com
Model Number 50126RV
Part Number 43959
Retail UPC 025932512605
Carton UPC 50025932512600
Country of Origin US
UNSPSC 14111806
Dimensions / Specifications
Unit of Measure PK (Pack)
Item Dimensions 8.5 in. x 2.2 in. x 11.0 in. (W x H x L)
Item Weight 5.193 lbs.
Carton Pack Quantity 5 PK
Carton Pack Dimensions 9.0 in. x 11.375 in. x 11.375 in. (W x H x L)
Carton Pack Weight 28.0 lbs.
This item is sold by the PK which contains 500 EA
Shipping Info
UPS Shippable Yes
Air Shippable Yes
Additional Info
Green Product No
EPA/CPG Certified No
Recycled No
Warranty No
State Restricted No

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Shipping

We offer free shipping on orders over $75. Items that ship freight, including furniture, oversized items, hazardous items, and products with a combined weight of over 600 lbs do not qualify for free shipping and will be charged a fee of $115 for the first item.

Most of our customers receive their items within 1-3 business days of placing an order. However, delivery times may vary based on factors such as product availability, delivery location, and whether an item must be shipped freight. We cannot guarantee any specific delivery date.

At this time, we do not offer expedited shipping.

We do not ship internationally or to U.S. territories, PO Boxes, APO or FPO addresses.

You will receive a shipping confirmation email with tracking information once your order has shipped, if tracking is available. Please allow 24 hours for the tracking information to be updated.

If your order is damaged during shipping, please contact our customer service team as soon as possible so that we can assist you. Please note that any visible damage should be noted on the bill of lading/delivery ticket before signing for the shipment.

Returns

We accept returns of most new, unopened items within 30 days of delivery for a full refund. Some items may be subject to a restocking fee. We also offer exchanges for items that are defective or damaged.

To initiate a return, please contact our customer service team. You will be provided with a return shipping label and instructions for returning the item.

We cannot accept returns of certain items, including custom orders, final sale items, items listed as non-returnable on the product page, and hazardous materials.

Once we receive your returned item, we will process your refund or exchange within 5-7 business days. Please note that it may take additional time for the refund to be reflected on your credit card statement.

Original shipping costs are non-refundable, unless the item is defective or damaged.

You will be responsible for paying for the return shipping costs, unless the item is defective or damaged.

Yes, you can return a gift as long as it meets the requirements of our return policy. Please note that the refund will be issued to the original payment method.

Yes, we offer exchanges for defective or damaged items. If you would like to exchange an item, please initiate a return and place a new order for the desired item.

Orders cannot be canceled once they have been submitted. If you are no longer in need of the item and would like to return it, please contact our customer service team to initiate a return once you have received the item.

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