ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
$83.79
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Highlights
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- Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
- Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 116719Model #: CMS12LC1
$83.79
1000/carton
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Customers bought together
About this product
Stay in compliance and process claims efficiently when submitting insurance claims with ComplyRight CMS-1500 Health Insurance Claim Forms.
Ensure all the necessary information for insurance claims is submitted by using these health insurance claim forms. The preprinted format allows for easy data entry, and the laser-cut sheets work with a wide range of printers for clear, precise printouts. These ComplyRight claim forms feature red OCR dropout ink to meet government regulations, ensuring better compliance and efficient document completion.
- Includes QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Printed with OCR "dropout" red ink on 20lb. paper (per government regulations)
- Includes new QR code identifier at the top of the form that supports and aligns with Industry scanning systems
- Form features detailed information to help expedite payment for claims
- Form not available personalized
- Satisfy record-keeping requirements with these health insurance claim forms
- For use by all medical facilities
- Developed in conjunction with all the governing agencies
- 02/12 Version
- 8-1/2" x 11"
Frequently bought together
Price is $86.19
Unit of measure 500/Box
Free delivery by Tue, Jul 29
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Over 30
Price is $60.19
Unit of measure 4000/Carton Price per unit $3.76/Pack
Free delivery by Tue, Jul 29
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Over 30
Price is $24.99, Regular price was $30.79, You save 18%
Unit of measure 100/Box
Delivery by Tue, Jul 29
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Over 30
Price is $11.21, Regular price was $13.19, You save 15%
Unit of measure 5/Pack Price per unit $0.02/Post-it® Note
Delivery by Tue, Jul 29
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Over 30
Price is $16.99
Delivery by Tue, Jul 29
1-hr pickup
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Over 30
Price is $8.29
Delivery by Thu, Jul 31
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Over 30
Price is $19.12, Regular price was $22.49, You save 14%
Unit of measure 24/Pack Price per unit $0.01/Post-it® Note
Delivery by Tue, Jul 29
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Over 30
Price is $29.99, Regular price was $35.39, You save 15%
Unit of measure 500/Box Price per unit $0.06/Envelope
Delivery by Tue, Jul 29
1-hr pickup
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Over 30
Price is $3.09
Unit of measure 4/Pack
Delivery by Tue, Jul 29
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Over 30
Price is $163.99
Unit of measure 50/Box
Free delivery by Tue, Jul 29
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Over 30
Price is $124.79
Unit of measure 500/Box
Free delivery by Tue, Aug 05
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Over 30
Price is $48.79
Unit of measure 50/Box
Free delivery by Tue, Jul 29
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Over 30
Price is $93.39
Unit of measure 216/Carton Price per unit $0.43/Highlighter
Free delivery by Tue, Jul 29
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Over 30
Price is $25.19
Unit of measure 500/Pack
Delivery by Mon, Aug 04
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Over 30
Price is $7.09
Unit of measure 100/Pack
Delivery by Thu, Jul 31
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Over 30
Price is $78.79
Unit of measure 500/Box
Free delivery by Mon, Aug 04
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Over 30
Price is $7.29
Unit of measure 100/Pack
Delivery by Thu, Jul 31
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Compare similar items
| Attributes | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) Price is $83.79 |  Price is $24.79 |  Price is $89.59 |  Price is $46.89 |  Price is $33.19 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Jul 29 | Delivery by Tue, Jul 29 | Free delivery by Tue, Aug 05 | Free delivery by Tue, Aug 05 | Delivery by Tue, Jul 29 |
| Available in my store | No | Yes | No | No | No |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| Medical Form Pack Size | 1000 | 100 | 2500 | 500 | 250 |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| True Color | White / Red | White / Red | White / Red | White / Red | White |
| Number of Parts | 1 | 1 | 1 | 1 | Data not available |
| Print Type | Laser | Data not available | Laser | Laser | Laser |
| Acid Free | Acid Free | Data not available | Acid Free | Acid Free | Data not available |
| Pack Qty | 1000 | 100 | 2500 | 500 | Data not available |
| Next Day Delivery | Yes | Yes | Data not available | Data not available | Yes |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $16.79
Unit of measure 100/Pack
Delivery by Fri, Aug 01
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Over 30
Price is $26.49
Unit of measure 50/Pack
Delivery by Fri, Aug 01
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Over 30
Price is $46.99, Regular price was $79.99, You save 41%
Unit of measure 5000/Carton
Free delivery by Tue, Jul 29
1-hr pickup
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Over 30
Price is $79.69
Unit of measure 500/Box
Free delivery by Fri, Aug 01
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Over 30
Price is $45.12, Regular price was $56.40, You save 20%
Unit of measure 25/Pack
Free delivery by Fri, Aug 01
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Price is $21.19
Unit of measure 50/Pack
Delivery by Fri, Aug 01
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, Aug 01
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Over 30
Price is $49.59
Unit of measure 250/Box
Free delivery by Fri, Aug 01
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Price is $26.49
Unit of measure 50/Pack
Delivery by Fri, Aug 01
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Over 30
Price is $42.99, Regular price was $68.99, You save 37%
Unit of measure 4000/Carton
Free delivery by Tue, Jul 29
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Over 30
Price is $65.39
Unit of measure 500/Ream
Free delivery by Fri, Aug 01
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, Aug 01
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, Aug 01
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Over 30
Price is $21.95
Delivery by Wed, Aug 06
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Over 30
Price is $45.79
Unit of measure 100/Pack
Free delivery by Fri, Aug 01
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