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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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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) |
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Your product ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657) Price is $4.39 Out of Stock | |||||
Reviews | |||||
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 |