ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
$91.89
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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 Claims, 2500/Pack (CMS12LC)
Item #: 125557Model #: CMS12LC
Final price is $91.89
2500/pack
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"
Frequently bought together
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Compare similar items
| Attributes | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) Price is $91.89 |  Price is $24.79 |  Price is $91.59 |  Price is $48.09 |  Price is $26.99 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Jan 06 | Next-Day Delivery by Mon, Dec 29 | Free delivery by Tue, Jan 06 | Free delivery by Tue, Jan 06 | Delivery by Tue, Jan 06 |
| Available in my store | No | Yes | No | No | No |
| Medical Form Pack Size | 2500 | 100 | 2500 | 500 | 250 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| Length in Inches | 11 | 11 | Data not available | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | Data not available | 8.5 | 8.5 |
| Pack Qty | 2500 | 100 | 250 | 500 | 250 |
| True Color | White / Red | White / Red | White / Red | White / Red | White / Red |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available | Data not available | Data not available |
| Print Type | Laser | Data not available | Laser | Laser | Laser |
| Series or Collection | CMS-1500 | CMS-1500 | UB-04 CMS-1450 | Data not available | Data not available |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Acid Free | Acid Free | Data not available | Data not available | Acid Free | Acid Free |
| Sustainable Forestry Initiative certified | Yes | Data not available | Data not available | Data not available | Yes |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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