ComplyRight CMS-1500 Health Insurance Claims, 250/Box (CMS12LC250)

ComplyRight CMS-1500 Health Insurance Claims, 250/Box (CMS12LC250)

Item #: 125555 | Model #: CMS12LC250
ComplyRight CMS-1500 Health Insurance Claims, 250/Box (CMS12LC250)
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Buy ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), Laser Cut, Pack of 250 at Staples' low price, or read our customer reviews to learn more now.
Product ID: 125555
35.69 NewIn stock
$35.69
Product details
Meet billing requirements for Medicare part B using these ComplyRight CMS-1500 health insurance claim forms.

Use these easy-to-read insurance claim forms for a faster claims process. Printed in scannable, dropout OCR red ink, these documents deliver crisp, clean text and comply with CMS standards and requirements for paper, layout and ink to expedite the receipt of payment for health care facilities. These ComplyRight CMS-1500 forms include 02/12 NUCC revisions and replace the previous 08/05 version.

  • Satisfy record-keeping requirements with these health insurance claim forms
  • Contains 250 forms per box
  • Printed with OCR “dropout” red ink on white paper
  • For use by all medical facilities
  • Developed in conjunction with all the governing agencies
  • Comes in laser-cut sheet format
  • 02/12 Version