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cms 1500 claim forms

(11 items found)
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), Laser Cut, Pack of 2,500
Item : 125557 / Model : CMS12LC
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  • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
  • 2,500 per case
  • Form is "8.5x11"
$64.99
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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), Laser Cut, Pack of 500
Item : 125556 / Model : CMS12LC500
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  • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
  • 500 per case
  • Form is "8.5x11"
$47.99
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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), Laser Cut, Pack of 250
Item : 125555 / Model : CMS12LC250
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  • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
  • 250 per case
  • Form is "8.5x11"
$31.99
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TOPS Health Insurance Claim Form, Laser, 100/Pack (CMS1500L1V)
Item : 486075 / Model : CMS1500L1V
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  • White
  • Binding type: Loose sheets
  • Sheet size: 8 1/2" x 11"
$19.99
100/Pack
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Health Insurance Claim Form, 2-Part, Continuous, 100 Sets
Item : 486076 / Model : CMS1500CV
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$19.99
100 Sets
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Non-Imprinted Standard Claim Right Window Envelopes, 9.5 x 4.5 inch, Gummed, 500/Box
Item : 713939 / Model : 1500E
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  • Specially Designed Window Envelopes Fit Cms 1500 Claim Forms When Tri-Folded
  • All Envelopes Have Confidential Lining for Added Security
  • Compatible With Laser Printers
$34.99
500/Box
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$34.99*
500/Box
Buy More, Save More
1 @$34.99
3+ @$29.99
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 3-Part Continuous, White/Canary/Pink, Pack of 1,000
Item : 1949160 / Model : CMS1239
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  • Corresponding envelopes sold separately
  • Accommodates reporting of the National Provider Identifier, which must be used by all HIPAA-covered entities
  • 20-lb paper with OCR "dropout" red ink for greater scanning accuracy
$69.95
1000/Pack
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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Canary, Pack of 1,000
Item : 125554 / Model : CMS122
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  • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
  • 1,000 per case
  • Form is "8.5x11"
$78.99
Each
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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 1-Part Continuous, White, Pack of 2,500
Item : 125542 / Model : CMS121
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  • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
  • 2,500 per case
  • Form is "8.5x11"
$70.19
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ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/White, Pack of 1,000
Item : 125553 / Model : CMS12W2
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  • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
  • 1,000 per case
  • Form is "8.5x11"
$74.09
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TOPS™ Centers for Medicare and Medicaid Services (CMS) Forms, 11 x 8 1/2, 1500/Carton (50124R)
Item : 2408491 / Model : 50124RV
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  • Centers for Medicare and Medicaid Services (CMS) claim form with sensor bar.
  • Continuous Form.
  • Brand: TOPS™
$96.99
1500/Carton
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