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
Free Returns
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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 $164.79
Unit of measure 500/Box
Free delivery by Thu, Jun 18
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Price is $135.29
Unit of measure 500/Box
Free Next-Day eligible by tomorrow
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Price is $59.79
Unit of measure 2400/Carton Price per unit $2.49/100 Sheets
Free Next-Day eligible by tomorrow
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Price is $88.39
Unit of measure 500/Box
Free Next-Day eligible by tomorrow
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Price is $42.49
Unit of measure 100/Pack
Free Next-Day eligible by tomorrow
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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 UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5) | 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 $91.89 |  Price is $30.19 |  Price is $93.89 | |
| Reviews | |||||
| Delivery Information | Free Next-Day eligible by tomorrow | Next-Day Delivery by tomorrow | Free delivery by Thu, Jun 18 | Delivery by Tue, Jun 23 | Free delivery by Thu, Jun 18 |
| 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 | 2500 |
| True Color | White / Red | White / Red | White / Red | Data not available | 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 |
| Number of Parts | 1 | 1 | 1 | Data not available | 1 |
| Acid Free | Acid Free | Data not available | Acid Free | Acid Free | Data not available |
| Pack Qty | 1000 | 100 | 2500 | Data not available | 250 |
| 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 $49.59
Unit of measure 250/Box
Free delivery by Wed, Jun 17
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Price is $81.69
Unit of measure 500/Box
Free delivery by Wed, Jun 17
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Price is $19.89
Delivery by Mon, Jun 22
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Price is $46.09
Unit of measure 50/Pack
Free delivery by Wed, Jun 17
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Price is $17.95
Delivery by Mon, Jun 22
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