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ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657)
$4.39
  • 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
$4.39
100/pack

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  • 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

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    Product specifications table
    Attributes ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657) TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) 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)
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    Price is $4.39
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    Delivery Information
    Data not available
    Free delivery by Tue, Nov 18
    Delivery by Tue, Nov 18
    Delivery by Tue, Nov 18
    Free delivery by Mon, Nov 24
    Available in my store
    No
    No
    No
    Yes
    No
    Medical Form Pack Size
    100
    500
    250
    100
    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
    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
    Print Type
    Inkjet / Laser
    Laser
    Laser
    Data not available
    Laser
    Series or Collection
    CMS-1500
    CMS-1500
    CMS-1500
    CMS-1500
    Data not available
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    Add To Cart
    Add To Cart