https://www.staples-3p.com/s7/is/image/Staples/996D733C-503C-4F0A-95CA9A92C06591BD_sc7
ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657)
$3.09
  • 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
Final price is $3.09
100/pack

Free Returns

Online. In store. Always free.

Learn More

  • 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
    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

    Compare similar items

    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) TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V)
    Your product
    Price is $3.09
    Out of Stock
    Reviews
    4.76
    51
    4.92
    12
    4.74
    34
    4.73
    70
    Delivery Information
    Data not available
    Next-Day Delivery by tomorrow
    Free Next-Day eligible by tomorrow
    Free delivery by Fri, Jun 05
    Next-Day Delivery by tomorrow
    Available in my store
    No
    No
    No
    No
    Yes
    Medical Form Pack Size
    100
    250
    500
    500
    100
    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"
    Data not available
    8 1 / 2" x 11"
    Print Type
    Inkjet / Laser
    Laser
    Laser
    Laser
    Data not available
    Series or Collection
    CMS-1500
    CMS-1500
    CMS-1500
    Data not available
    CMS-1500
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart