ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
$89.59
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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
$89.59
2500/pack
Free Returns
Online. In store. Always free.
Learn More
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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
Price is $13.29
Unit of measure 2/Pack Price per unit $6.64/Correction Tape
Next-Day Delivery by tomorrow
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Price is $11.29
Unit of measure 24/Pack Price per unit $0.47/File Folder
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $28.19
Unit of measure Dozen Price per unit $2.35/Pen
Next-Day Delivery by tomorrow
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Price is $12.79
Unit of measure 6/Pack Price per unit $0.02/Post-it® Note
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Price is $19.52, Regular price was $21.69, You save 10%
Unit of measure 18/Pack
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $20.49
Unit of measure 12/Pack Price per unit $0.02/Post-it® Note
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Price is $14.99
Unit of measure 500/Pack Price per unit $0.03/Paper Clip
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $6.99, Regular price was $11.99, You save 41%
Price per unit $0.02/Post-it® Note
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $0.50, Regular price was $3.09, You save 83%
Unit of measure 8/Pack Price per unit $0.06/Pencil
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $16.99, Regular price was $20.59, You save 17%
Unit of measure 100/Box Price per unit $0.17/File Folder
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $1.00, Regular price was $3.79, You save 73%
Unit of measure 3/Pack Price per unit $0.33/Eraser
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $1.99, Regular price was $4.29, You save 53%
Unit of measure 5/Pack Price per unit $0.40/Highlighter
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Price is $0.50, Regular price was $2.19, You save 77%
Unit of measure Dozen Price per unit $0.04/Eraser
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $9.99, Regular price was $12.69, You save 21%
Unit of measure Dozen Price per unit $0.83/Marker
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $15.99, Regular price was $19.49, You save 17%
Unit of measure 10/Pack Price per unit $1.60/Correction Tape
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $6.99, Regular price was $8.69, You save 19%
Unit of measure 60/Pack Price per unit $0.12/Pen
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $0.25, Regular price was $0.79, You save 68%
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
Next-Day Delivery by tomorrow
1-hr pickup
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Price is $6.99, Regular price was $8.19, You save 14%
Unit of measure 4/Pack Price per unit $1.75/Correction Tape
Next-Day Delivery by tomorrow
1-hr pickup
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Compare similar items
| Attributes | 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 250 (CMS12LC250) | 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 Form, 250/Box (CMS12LC250) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) Price is $89.59 |  Price is $26.29 |  Price is $83.79 |  Price is $24.79 |  Price is $33.19 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Jul 22 | Delivery by Tue, Jul 22 | Free Next-Day eligible by tomorrow | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow |
| Available in my store | No | No | No | Yes | No |
| Medical Form Pack Size | 2500 | 250 | 1000 | 100 | 250 |
| 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 |
| True Color | White / Red | White / Red | White / Red | White / Red | White |
| Form Size | 8 1 / 2" x 11" | Data not available | Data not available | 8 1 / 2" x 11" | 8 1 / 2" x 11" |
| Print Type | Laser | Laser | Laser | Data not available | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | Data not available |
| Pack Qty | 2500 | 250 | 1000 | 100 | Data not available |
| Acid Free | Acid Free | Acid Free | Acid Free | Data not available | Data not available |
| Series or Collection | CMS-1500 | Data not available | Data not available | CMS-1500 | CMS-1500 |
| Sustainable Forestry Initiative certified | Yes | Yes | Data not available | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $17.39
Unit of measure 50/Pack
Delivery by Fri, Jul 18
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Price is $38.89
Unit of measure 50/Pack
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Price is $45.79
Unit of measure 25/Pack
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Price is $45.12, Regular price was $56.40, You save 20%
Unit of measure 25/Pack
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Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, Jul 18
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Price is $21.95
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Price is $58.59
Unit of measure 50/Pack
Free delivery by Fri, Jul 18
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Price is $37.89
Unit of measure 50/Pack
Free delivery by Fri, Jul 18
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Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, Jul 18
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Price is $65.29
Unit of measure 50/Pack
Free delivery by Fri, Jul 18
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Price is $45.79
Unit of measure 100/Pack
Free delivery by Fri, Jul 18
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Price is $37.89
Unit of measure 50/Pack
Free delivery by Fri, Jul 18
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Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, Jul 18
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Price is $37.89
Unit of measure 50/Pack
Free delivery by Fri, Jul 18
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Price is $45.79
Unit of measure 100/Pack
Free delivery by Fri, Jul 18
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