• 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) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)
    Your product
    Price is $4.39
    Out of Stock
    Reviews
    4.6
    8
    4.8
    19
    4.8
    57
    4.7
    67
    4.9
    12
    Delivery Information
    Data not available
    Next-Day Delivery by tomorrow
    Free delivery by Thu, Jul 24
    Next-Day Delivery by tomorrow
    Free Next-Day eligible by tomorrow
    Available in my store
    No
    No
    No
    Yes
    No
    Length in Inches
    11
    11
    11
    11
    11
    Medical Form Pack Size
    100
    250
    2500
    100
    500
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    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"
    Print Type
    Inkjet / Laser
    Laser
    Laser
    Data not available
    Laser
    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