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
$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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Unit of measure 5000/Carton
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Unit of measure 100/Box Price per unit $0.18/File Folder
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Unit of measure 1500/Carton
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Unit of measure 500/Ream
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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 $33.19 | Price is $89.59 |  Price is $50.59 | |
| Reviews | |||||
| Delivery Information | Data not available | Delivery by Tue, Sep 02 | Delivery by Tue, Sep 02 | Free delivery by Mon, Sep 08 | Free delivery by Tue, Sep 02 |
| 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 |
| 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 | Data not available | Laser | Laser | 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 |
Featured Products
Price is $79.69
Unit of measure 500/Box
Free delivery by Fri, Sep 05
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Over 30
Price is $15.09
Unit of measure 50/Pack
Delivery by Fri, Sep 05
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Price is $16.79
Unit of measure 50/Pack
Delivery by Fri, Sep 05
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Over 30
Price is $49.59
Unit of measure 250/Box
Free delivery by Fri, Sep 05
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Over 30
Price is $17.09
Delivery by Wed, Sep 10
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, Sep 05
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Price is $56.19
Free delivery by Wed, Sep 10
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Over 30
Price is $33.29
Delivery by Wed, Sep 10
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Over 30
Price is $57.29
Free delivery by Wed, Sep 10
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Over 30
Price is $64.19
Unit of measure 50/Pack
Free delivery by Fri, Sep 05
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Over 30
Price is $19.59
Delivery by Wed, Sep 10
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Over 30
Price is $52.19
Unit of measure 50/Pack
Free delivery by Wed, Sep 10
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Over 30
Price is $15.59
Unit of measure 50/Pack
Delivery by Fri, Sep 05
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Over 30
Price is $29.29
Delivery by Wed, Sep 10
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, Sep 05
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