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
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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"
Frequently bought together
Page 1 of 4
Price is $42.49
Unit of measure 100/Pack
Free delivery by Tue, Aug 18
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Price is $18.99
Unit of measure 20/Pack Price per unit $0.95/Battery
Delivery by Tue, Aug 18
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Price is $164.79
Unit of measure 500/Box
Free delivery by Mon, Aug 24
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Price is $27.59
Delivery by Tue, Aug 18
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Price is $76.19
Unit of measure 12/Pack
Free delivery by Mon, Aug 24
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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 Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) | 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 $85.89 |  Price is $24.79 |  Price is $48.09 |  Price is $34.59 |  Price is $34.09 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Aug 18 | Delivery by Tue, Aug 18 | Free delivery by Mon, Aug 24 | Delivery by Tue, Aug 18 | Delivery by Tue, Aug 18 |
| Available in my store | No | Yes | No | No | No |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Consent | Health Insurance Claims |
| True Color | White / Red | White / Red | White / Red | Red and White | White |
| Medical Form Pack Size | 1000 | 100 | 500 | 250 | 250 |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Number of Parts | 1 | 1 | 1 | 1 | Data not available |
| Print Type | Laser | Data not available | Laser | Continuous | Laser |
| Pack Qty | 1000 | 100 | 500 | 1 | Data not available |
| Acid Free | Acid Free | Data not available | Acid Free | Data not available | Data not available |
| Next Day Delivery | Yes | Yes | Data not available | Yes | Yes |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Page 1 of 3
Price is $17.95
Delivery by Wed, Aug 26
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Unit of measure 500/Box
Free delivery by Fri, Aug 21
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Unit of measure 50/Pack
Delivery by Fri, Aug 21
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Unit of measure 50/Pack
Delivery by Fri, Aug 21
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Price is $15.99
Unit of measure 10/Pack
Delivery by Fri, Aug 21
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