Highlights
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- Designed for filing Medicare part B claims as well as claims to commercial insurance companies
- Includes the newest NUCC revisions
- Printed in red, scannable, OCR ink
ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657)
Item #: 1032415Model #: 650657
Final price is $4.39
100/pack
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Suggested alternative
Price is $10.46
About this product
Designed for filing Medicare part B claims as well as claims to commercial insurance companies.
- Designed for filing Medicare part B claims as well as claims to commercial insurance companies
- Includes the newest NUCC revisions
- Printed in red, scannable, OCR ink
- Guaranteed to comply with all government standards for paper, ink and layout.
- 8-1/2" x 11"
- For laser or inkjet printers
- 100 sheets
Frequently bought together
Price is $39.99, Regular price was $79.99, You save 50%
Unit of measure 5000/Carton
Free delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $7.99
Delivery by Tue, Oct 21
30-min pickup
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Price is $6.89
Delivery by Tue, Oct 21
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Price is $149.99, Regular price was $319.99, You save 53%
Free delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $89.99
Free delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $349.99, Regular price was $579.99, You save 39%
Free delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $129.99, Regular price was $299.99, You save 56%
Free delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $4.49
Delivery by Tue, Oct 21
30-min pickup
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Price is $16.99, Regular price was $26.14, You save 35%
Unit of measure 1500/Carton
Delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $2.69
Price per unit $2.69/Folder
Delivery by Tue, Oct 21
30-min pickup
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Lenovo V15 G4 15.6" Laptop, Intel Core i7-13620H, 16GB RAM, 512GB SSD, Windows 11 Home (83CC002EUS) is In-store only
Price is $549.99, Regular price was $879.99, You save 37%
See alternate delivery items
30-min pickup
Price is $49.99, Regular price was $129.99, You save 61%
Free delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $34.99, Regular price was $68.99, You save 49%
Unit of measure 4000/Carton
Delivery by Tue, Oct 21
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Over 30
Price is $14.99, Regular price was $20.59, You save 27%
Unit of measure 100/Box Price per unit $0.15/File Folder
Delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $139.99, Regular price was $179.99, You save 22%
Free delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $6.99, Regular price was $9.44, You save 25%
Unit of measure 500/Ream
Delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $329.99, Regular price was $529.99, You save 37%
Free delivery by Wed, Oct 22
30-min pickup
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Compare similar items
| Attributes | ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) |
|---|---|---|---|---|---|
Your product ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657) Price is $4.39 Out of Stock |  Price is $24.79 |  Price is $34.09 |  Price is $91.89 |  Price is $51.89 | |
| Reviews | |||||
| Delivery Information | Data not available | Delivery by Tue, Oct 21 | Delivery by Tue, Oct 21 | Free delivery by Mon, Oct 27 | Free delivery by Tue, Oct 21 |
| Available in my store | No | Yes | No | No | No |
| Medical Form Pack Size | 100 | 100 | 250 | 2500 | 500 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Print Type | Inkjet / Laser | Data not available | Laser | Laser | Laser |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" |
| Series or Collection | CMS-1500 | CMS-1500 | CMS-1500 | CMS-1500 | CMS-1500 |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $17.39
Unit of measure 50/Pack
Delivery by Fri, Oct 24
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Over 30
Price is $20.19
Delivery by Wed, Oct 29
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Price is $16.95
Delivery by Wed, Oct 29
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Over 30
Price is $17.39
Unit of measure 100/Pack
Delivery by Fri, Oct 24
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Over 30
Price is $16.79
Unit of measure 50/Pack
Delivery by Fri, Oct 24
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Over 30
Price is $12.69
Unit of measure 50/Pack
Delivery by Fri, Oct 24
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Over 30
Price is $39.99, Regular price was $79.99, You save 50%
Unit of measure 5000/Carton
Free delivery by Tue, Oct 21
30-min pickup
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Over 30
Price is $59.59
Free delivery by Wed, Oct 29
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Over 30
Price is $166.39
Free delivery by Wed, Oct 29
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Over 30
Price is $34.99, Regular price was $68.99, You save 49%
Unit of measure 4000/Carton
Delivery by Tue, Oct 21
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Over 30
Price is $21.69
Delivery by Wed, Oct 29
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Over 30
Price is $167.19
Unit of measure 1000/Pack
Free delivery by Wed, Oct 29
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Over 30
Price is $11.09
Unit of measure 50/Pack
Delivery by Fri, Oct 24
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Over 30
Price is $21.95
Delivery by Wed, Oct 29
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Over 30
Price is $66.29
Unit of measure 50/Pack
Free delivery by Fri, Oct 24
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