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
$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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Your product ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) Price is $91.89 |  Price is $24.79 |  Price is $34.09 |  Price is $146.69 |  Price is $51.89 | |
| Reviews | |||||
| Delivery Information | Free delivery by Thu, Dec 11 | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow | Free delivery by Thu, Dec 11 | Free Next-Day eligible by tomorrow |
| Available in my store | No | Yes | No | No | No |
| Length in Inches | 11 | 11 | 11 | Data not available | 11 |
| Medical Form Pack Size | 2500 | 100 | 250 | 500 | 500 |
| Width in Inches | 8.5 | 8.5 | 8.5 | Data not available | 8.5 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| True Color | White / Red | White / Red | White | White / Blue | White / Red |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 9" x 12.5" | 8 1 / 2" x 11" |
| Pack Qty | 2500 | 100 | Data not available | 1 | 1 |
| Number of Parts | 1 | 1 | Data not available | Data not available | 1 |
| Print Type | Laser | Data not available | Laser | Data not available | Laser |
| Series or Collection | CMS-1500 | CMS-1500 | CMS-1500 | CMS-1500 | CMS-1500 |
| Acid Free | Acid Free | Data not available | Data not available | Data not available | Data not available |
| Sustainable Forestry Initiative certified | Yes | Data not available | 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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