Tops
TOP50135R - CMS-1500 Claim Forms, 250 Pack
Free shipping with 3 or more products in your cart
Payflex: Pay in 4 interest-free payments of R386.25. Read the FAQ
R 1,545
In stock
Duties, insurance and VAT included
Delivered in 10–20 working days —
Free shipping with 3 or more products in your cart
Secure checkout
Your payment is fully protected
Duties & VAT included
No surprise charges at the door
Tracked delivery
Track your order end to end
Returns support
30-day return window
Description
- Form Size - 8 1/2 x 11
- Form Type - Insurance Claim
- Format - Loose Form
- Layout - One Form per Sheet
- Paper Stock - 20-Lb. 250 Sheets to a pack
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. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 250; Principal Heading(s): 1500 Health Insurance Claim Form.
Technical Specifications
Manufacturer
TOPS Business Forms, Inc.
Model
TOP50135RV
Color
White
Size
8 1/2 x 11
Shipping & Delivery
Your order is shipped from the USA and delivered to your door in South Africa in 10–20 working days. All items are fully tracked.
Returns & Exchanges
We offer a 30-day return window. If something isn't right, contact our support team and we'll make it right.
