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ComplyRight Health Insurance Claims, 2-Part, 1000/Box (CMS12W2)
$99.99
  • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
  • 1,000 per case
  • Form is "8.5x11"
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ComplyRight Health Insurance Claims, 2-Part, 1000/Box (CMS12W2)

Item #: 125553Model #: CMS12W2
$99.99
1000/box

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  • About this product

    ComplyRight Cms-1500 health insurance claim form is printed on white/white paper, sold as 1000 per case.

    ComplyRight Cms-1500 Health insurance claim form is printed with OCR dropout red ink over #20 white paper. Form measuring 8.5" x 11" is as per government regulations, sold as 1000 per case.

    • Printed with OCR "dropout" red ink on 20# paper, as per government regulations
    • 1,000 per case
    • Form is "8.5x11"
    • Carbonless form
    • Paper Sequence: white/white
    • 8 1/2" x 11"
    • 20 lb.
    • White
    • Printed with OCR "dropout" red ink per government regulations
    • Carbonless
    • NPI Compliance Guaranteed

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    Product specifications table
    Attributes ComplyRight Health Insurance Claims, 2-Part, 1000/Box (CMS12W2) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) ComplyRight Notice of Privacy Practice, 100/Pack (A1349) ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211) ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)
    Your product
    Price is $99.99
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    Delivery Information
    Data not available
    Delivery by Wed, Feb 11
    Delivery by Tue, Feb 17
    Free delivery by Tue, Feb 17
    Free delivery by Tue, Feb 17
    Available in my store
    No
    No
    No
    No
    No
    Width in Inches
    8.5
    8.5
    8.5
    9.375
    8.5
    Length in Inches
    11
    11
    11
    11.75
    11
    Pack Qty
    1
    Data not available
    1
    1
    Data not available
    True Color
    White
    White
    White
    Data not available
    White
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    9.375" x 11.75"
    8-1 / 2" x 11"
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Privacy Practice
    Medical Records Folders
    Dental Claims
    Medical Form Pack Size
    1000
    250
    100
    25
    1000
    Number of Parts
    2
    Data not available
    Data not available
    Data not available
    1
    Print Type
    Continuous
    Laser
    Data not available
    Data not available
    Laser
    Price Per Unit
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Sustainable Forestry Initiative certified
    Yes
    Data not available
    Data not available
    Data not available
    Data not available
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