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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
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100/pack

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    • Details

    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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    Specifications
    Specifications table
    Attribute nameAttribute value
    Length in Inches 11
    Series or Collection
    		CMS-1500
    Form Size
    		8 1/2" x 11"
    Medical Form Pack Size 100
    Width in Inches
    		8.5
    Medical Form Type Health Insurance Claims
    Print Type Inkjet/Laser
    Reviews

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    Your product
    ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657)
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    Product specifications table
    Attributes ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) 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) ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500) ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) ComplyRight Notice of Privacy Practice, 100/Pack (A1349) ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)
    Your product
    ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657)
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    Out of Stock
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    Price is $32.09
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    Reviews
    4.6
    8
    4.6
    25
    4.7
    67
    4.8
    19
    4.8
    57
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    No reviews yet
    4.7
    31
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    4.9
    42
    No reviews yet
    Delivery Information
    Data not available
    Delivery by Tue, May 06
    Delivery by Tue, Apr 29
    Delivery by Tue, Apr 29
    Free delivery by Tue, May 06
    Free delivery by Tue, May 06
    Delivery by Thu, May 08
    Free delivery by Tue, May 06
    Free delivery by Wed, May 07
    Free delivery by Tue, May 06
    Free delivery by Tue, Apr 29
    Free delivery by Tue, May 06
    Available in my store
    No
    No
    Yes
    No
    No
    No
    No
    No
    No
    No
    No
    No
    Medical Form Pack Size
    100
    250
    100
    250
    2500
    500
    500
    500
    100
    500
    1000
    2500
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Privacy Practice
    Dental Claims
    Health Insurance Claims
    Dental Claims
    Length in Inches
    11
    11
    11
    11
    11
    Data not available
    11
    11
    11
    11
    11
    11
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Data not available
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    Print Type
    Inkjet / Laser
    Laser
    Data not available
    Laser
    Laser
    Data not available
    Laser
    Laser
    Data not available
    Laser
    Laser
    Laser
    Form Size
    8 1 / 2" x 11"
    Data not available
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    9" x 12.5"
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    8 1 / 2" x 11"
    8-1 / 2" x 11"
    Data not available
    8-1 / 2" x 11"
    Series or Collection
    CMS-1500
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    CMS-1500
    CMS-1500
    CMS-1500
    CMS-1500
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
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