Quality items from Bonanzaโ€™s top-rated sellers.

Canfield Parts and Equipment earned a 100% satisfaction rating for providing an excellent experience from start to finish. View booth >>

Rendered at 08:36:08 05/24/25
Full-size item image
Primary image for Tops Health Insurance Claim Forms Laser/Ink Jet Revised CMS-1500 (2/12) 500 sets
Item image 1
Item image 2
Item image 3

Tops Health Insurance Claim Forms Laser/Ink Jet Revised CMS-1500 (2/12) 500 sets

$18.00

Don't miss out on this item!

There is only 1 left in stock.

Shipping options

Estimated to arrive by Tue, Jun 3rd. Details
Calculated by USPS in US.

Offer policy

OBO - Seller accepts offers on this item. Details

Return policy

None: All purchases final

Purchase protection

Payment options

PayPal accepted
PayPal Credit accepted
Venmo accepted
PayPal, MasterCard, Visa, Discover, and American Express accepted
Maestro accepted
Amazon Pay accepted
Nuvei accepted

Shipping options

Estimated to arrive by Tue, Jun 3rd. Details
Calculated by USPS in US.

Offer policy

OBO - Seller accepts offers on this item. Details

Return policy

None: All purchases final

Purchase protection

Payment options

PayPal accepted
PayPal Credit accepted
Venmo accepted
PayPal, MasterCard, Visa, Discover, and American Express accepted
Maestro accepted
Amazon Pay accepted
Nuvei accepted

Item traits

Category:

Forms & Record Keeping

Quantity Available:

Only one in stock, order soon

Condition:

New

MPN:

50126RV

Brand:

Tops

Type:

Health Insurance Claim Form

UPC:

025932512605

Seller Notes:

โ€œThis is new old stock.โ€

Listing details

Seller policies:

View seller policies

Shipping discount:

Shipping weights of all items added together for savings.

Posted for sale:

More than a week ago

Item number:

1128484280

Item description

This is a pack of 500 sets of 8 1/2" x 11" health insurance claim forms. They are printed with red ink on white background. They are NUCC/OMB approved. FYI - The shipping charge includes a handling fee. Closed on Sunday. All questions and offers on Sunday will be resolved the next business day.