ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
$85.89
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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
$85.89
1000/carton
Free Returns
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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"
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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 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500) | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) Price is $85.89 |  Price is $24.79 |  Price is $91.89 |  Price is $146.69 |  Price is $91.59 | |
| Reviews | |||||
| Delivery Information | Free delivery by Fri, Feb 27 | Delivery by Fri, Feb 27 | Free delivery by Wed, Mar 04 | Free delivery by Wed, Mar 04 | Free delivery by Wed, Mar 04 |
| 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 | 2500 |
| True Color | White / Red | White / Red | White / Red | White / Blue | White / Red |
| Length in Inches | 11 | 11 | 11 | Data not available | Data not available |
| Width in Inches | 8.5 | 8.5 | 8.5 | Data not available | Data not available |
| Print Type | Laser | Data not available | Laser | Data not available | Laser |
| Number of Parts | 1 | 1 | 1 | Data not available | 1 |
| Pack Qty | 1000 | 100 | 2500 | 1 | 250 |
| Acid Free | Acid Free | Data not available | Acid Free | Data not available | Data not available |
| Next Day Delivery | Yes | Yes | Data not available | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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