ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
$85.89
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Highlights
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- Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
- Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 116719Model #: CMS12LC1
$85.89
1000/carton
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About this product
Stay in compliance and process claims efficiently when submitting insurance claims with ComplyRight CMS-1500 Health Insurance Claim Forms.
Ensure all the necessary information for insurance claims is submitted by using these health insurance claim forms. The preprinted format allows for easy data entry, and the laser-cut sheets work with a wide range of printers for clear, precise printouts. These ComplyRight claim forms feature red OCR dropout ink to meet government regulations, ensuring better compliance and efficient document completion.
- Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
- Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Form features detailed information to help expedite payment for claims
- Form not available personalized
- Satisfy record-keeping requirements with these health insurance claim forms
- For use by all medical facilities
- Developed in conjunction with all the governing agencies
- 02/12 Version
- 8-1/2" x 11"
Frequently bought together
Page 1 of 4
Price is $42.49
Unit of measure 100/Pack
Free delivery by Mon, Aug 24
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Price is $18.99
Unit of measure 20/Pack Price per unit $0.95/Battery
Delivery by Mon, Aug 24
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Price is $66.29
Unit of measure 250/Box Price per unit $0.26/Envelope
Free delivery by Mon, Aug 24
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Price is $10.19
Unit of measure 500/Roll
Delivery by Tue, Aug 25
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Price is $164.79
Unit of measure 500/Box
Free delivery by Fri, Aug 28
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Compare similar items
| Attributes | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) Price is $85.89 |  Price is $24.79 |  Price is $48.09 |  Price is $27.69 |  Price is $93.89 | |
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Aug 24 | Delivery by Mon, Aug 24 | Free delivery by Fri, Aug 28 | Delivery by Fri, Aug 28 | Free delivery by Fri, Aug 28 |
| Available in my store | No | Yes | No | No | No |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| Medical Form Pack Size | 1000 | 100 | 500 | 250 | 2500 |
| True Color | White / Red | White / Red | White / Red | White / Red | White / Red |
| Length in Inches | 11 | 11 | 11 | 11 | Data not available |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | Data not available |
| Print Type | Laser | Data not available | Laser | Laser | Laser |
| Pack Qty | 1000 | 100 | 500 | 250 | 250 |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Acid Free | Acid Free | Data not available | Acid Free | Acid Free | Data not available |
| Next Day Delivery | Yes | Yes | Data not available | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Page 1 of 3
Price is $15.59
Unit of measure 50/Pack
Delivery by Thu, Aug 27
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Unit of measure 500/Box
Free delivery by Thu, Aug 27
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Delivery by Tue, Sep 01
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Price is $15.99
Unit of measure 10/Pack
Delivery by Thu, Aug 27
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Price is $21.69
Delivery by Tue, Sep 01
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