ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
$83.79
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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
$83.79
1000/carton
Free Returns
Online. In store. Always free.
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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
Price is $11.29
Price per unit $2.82/Pen
Delivery by Mon, Jul 21
1-hr pickup
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Price is $3.19
Unit of measure 2/Pack Price per unit $1.60/Refill
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $5.99, Regular price was $9.19, You save 34%
Unit of measure 60/Pack Price per unit $0.10/Pen
Delivery by Thu, Jul 17
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Over 30
Price is $21.89
Unit of measure 36/Pack Price per unit $0.61/Pen
Delivery by Thu, Jul 17
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Over 30
Price is $18.39
Unit of measure Dozen Price per unit $1.53/Pen
Delivery by Thu, Jul 17
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Over 30
Price is $13.19
Unit of measure 5/Pack Price per unit $0.03/Post-it® Note
Delivery by Thu, Jul 17
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Over 30
Price is $29.79
Unit of measure 12/Pack Price per unit $2.48/Roll
Delivery by Thu, Jul 17
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Over 30
Price is $6.99, Regular price was $8.69, You save 19%
Unit of measure 60/Pack Price per unit $0.12/Pen
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $0.50, Regular price was $3.09, You save 83%
Unit of measure 8/Pack Price per unit $0.06/Pencil
Delivery by Thu, Jul 17
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Price is $16.99, Regular price was $20.59, You save 17%
Unit of measure 100/Box Price per unit $0.17/File Folder
Delivery by Thu, Jul 17
1-hr pickup
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Staples Block Erasers, Pink, 3/Pack (10433-CC)Â is In-store only
Price is $1.00, Regular price was $3.79, You save 73%
Unit of measure 3/Pack Price per unit $0.33/Eraser
See alternate delivery items
1-hr pickup
Price is $1.99, Regular price was $4.29, You save 53%
Unit of measure 5/Pack Price per unit $0.40/Highlighter
Delivery by Thu, Jul 17
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Price is $0.50, Regular price was $2.19, You save 77%
Unit of measure Dozen Price per unit $0.04/Eraser
Delivery by Thu, Jul 17
1-hr pickup
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Price is $9.99, Regular price was $12.69, You save 21%
Unit of measure Dozen Price per unit $0.83/Marker
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $15.99, Regular price was $19.49, You save 17%
Unit of measure 10/Pack Price per unit $1.60/Correction Tape
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $0.25, Regular price was $0.79, You save 68%
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
Delivery by Thu, Jul 17
1-hr pickup
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Over 30
Price is $6.99, Regular price was $8.19, You save 14%
Unit of measure 4/Pack Price per unit $1.75/Correction Tape
Delivery by Thu, Jul 17
1-hr pickup
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Price is $9.99
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
Delivery by Thu, Jul 17
1-hr pickup
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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 Claims, 2500/Pack (CMS12LC) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) Price is $83.79 |  Price is $24.79 |  Price is $89.59 |  Price is $46.89 |  Price is $33.19 | |
| Reviews | |||||
| Delivery Information | Free delivery by Thu, Jul 17 | Delivery by Thu, Jul 17 | Free delivery by Thu, Jul 24 | Free delivery by Thu, Jul 24 | Delivery by Thu, Jul 17 |
| 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 | 2500 | 500 | 250 |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| True Color | White / Red | White / Red | White / Red | White / Red | White |
| Print Type | Laser | Data not available | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | Data not available |
| Acid Free | Acid Free | Data not available | Acid Free | Acid Free | Data not available |
| Pack Qty | 1000 | 100 | 2500 | 500 | Data not available |
| Next Day Delivery | Yes | Yes | Data not available | Data not available | Yes |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $37.99
Unit of measure 100/Pack
Free delivery by Tue, Jul 22
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Price is $17.39
Unit of measure 50/Pack
Delivery by Tue, Jul 22
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Over 30
Price is $45.12, Regular price was $56.40, You save 20%
Unit of measure 25/Pack
Free delivery by Tue, Jul 22
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Price is $16.79
Unit of measure 100/Pack
Delivery by Tue, Jul 22
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Price is $17.39
Unit of measure 50/Pack
Delivery by Tue, Jul 22
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Price is $21.69
Delivery by Fri, Jul 25
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Price is $33.29
Delivery by Fri, Jul 25
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Price is $26.49
Unit of measure 50/Pack
Delivery by Tue, Jul 22
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Price is $49.59
Unit of measure 250/Box
Free delivery by Tue, Jul 22
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Price is $57.29
Free delivery by Fri, Jul 25
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Price is $306.69
Free delivery by Fri, Jul 25
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Price is $59.59
Free delivery by Fri, Jul 25
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Price is $36.19
Unit of measure 50/Box
Free delivery by Fri, Jul 25
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Over 30
Price is $120.19
Free delivery by Fri, Jul 25
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Price is $21.95
Delivery by Fri, Jul 25
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