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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 CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5)
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    Price is $99.99
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    Delivery Information
    Data not available
    Delivery by Tue, Dec 30
    Free delivery by Wed, Jan 07
    Delivery by Wed, Jan 07
    Delivery by Tue, Jan 13
    Available in my store
    No
    No
    No
    No
    No
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Length in Inches
    11
    11
    11
    11
    11
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Dental Claims
    Health Insurance Claims
    Medical Form Pack Size
    1000
    250
    2500
    100
    500
    Form Size
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8-1 / 2" X 11"
    Data not available
    True Color
    White
    White
    White / Red
    White
    Data not available
    Pack Qty
    1
    Data not available
    2500
    Data not available
    Data not available
    Print Type
    Continuous
    Laser
    Laser
    Laser
    Laser
    Number of Parts
    2
    Data not available
    1
    1
    Data not available
    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
    Yes
    Data not available
    Data not available
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