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
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 $91.59
Unit of measure 2500/Carton
Free delivery by Mon, Nov 03
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Over 30
Price is $10.99
Unit of measure 250/Box
Delivery by Tue, Nov 04
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Over 30
Price is $56.89
Unit of measure 300/Pack Price per unit $0.19/Cup
Free delivery by Tue, Oct 28
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Over 30
Price is $39.83, Regular price was $49.79, You save 20%
Unit of measure 20/Pack
Free delivery by Tue, Oct 28
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Over 30
Price is $4.59
Unit of measure 100/Pack
Delivery by Thu, Oct 30
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Over 30
Price is $21.99
Unit of measure Roll
Delivery by Tue, Oct 28
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Over 30
Price is $21.99
Unit of measure 80/Pack Price per unit $0.28/Wipe
Delivery by Tue, Oct 28
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Over 30
Price is $37.89
Unit of measure 24/Pack
Free delivery by Tue, Oct 28
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Over 30
Price is $30.69
Unit of measure 10/Box
Delivery by Tue, Oct 28
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Over 30
Price is $18.99
Unit of measure 1000/Pack Price per unit $0.02/Paper Clip
Delivery by Tue, Oct 28
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Over 30
Price is $88.39
Unit of measure 500/Box
Free delivery by Thu, Oct 30
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Over 30
Price is $64.49
Unit of measure 300/Carton Price per unit $0.22/Cup
Free delivery by Tue, Oct 28
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Over 30
Price is $43.89
Unit of measure 40/Box
Free delivery by Fri, Oct 31
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Over 30
Price is $4.15, Regular price was $5.19, You save 20%
Unit of measure 35/Pack
Delivery by Tue, Oct 28
30-min pickup
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Over 30
Price is $29.74, Regular price was $34.99, You save 15%
Unit of measure 18/Pack Price per unit $1.65/Pad
Delivery by Thu, Oct 30
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Over 30
Price is $16.29
Unit of measure 2/Pack
Delivery by Tue, Oct 28
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Price is $5.39
Price per unit $0.27/Fl Oz
Delivery by Tue, Oct 28
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Over 30
Price is $22.79
Unit of measure 12/Pack Price per unit $0.79/100 sheets
Delivery by Tue, Oct 28
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Over 30
Price is $45.19
Unit of measure 100/Pack
Free delivery by Fri, Oct 31
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Over 30
Price is $9.49
Unit of measure 10/Pack
Delivery by Tue, Oct 28
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Compare similar items
| Attributes | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | 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", Box of 1,000 (CMS12LC1) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) Price is $91.89 |  Price is $91.59 |  Price is $48.09 |  Price is $85.89 |  Price is $24.79 | |
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Nov 03 | Free delivery by Mon, Nov 03 | Free delivery by Mon, Nov 03 | Free delivery by Tue, Oct 28 | Delivery by Tue, Oct 28 |
| Available in my store | No | No | No | No | Yes |
| Medical Form Pack Size | 2500 | 2500 | 500 | 1000 | 100 |
| 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 / Red | White / Red | White / Red |
| Length in Inches | 11 | Data not available | 11 | 11 | 11 |
| Width in Inches | 8.5 | Data not available | 8.5 | 8.5 | 8.5 |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Print Type | Laser | Laser | Laser | Laser | Data not available |
| Form Size | 8 1 / 2" x 11" | Data not available | Data not available | Data not available | 8 1 / 2" x 11" |
| Pack Qty | 2500 | 250 | 500 | 1000 | 100 |
| Acid Free | Acid Free | Data not available | Acid Free | Acid Free | Data not available |
| Series or Collection | CMS-1500 | UB-04 CMS-1450 | Data not available | Data not available | CMS-1500 |
| 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 |
Featured Products
Price is $44.99, Regular price was $79.99, You save 43%
Unit of measure 5000/Carton
Free delivery by Tue, Oct 28
30-min pickup
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Price is $166.39
Free delivery by Wed, Nov 05
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Price is $65.39
Unit of measure 500/Ream
Free delivery by Fri, Oct 31
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Over 30
Price is $20.19
Delivery by Wed, Nov 05
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Over 30
Price is $41.99, Regular price was $68.99, You save 39%
Unit of measure 4000/Carton
Free delivery by Tue, Oct 28
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Over 30
Price is $59.59
Free delivery by Wed, Nov 05
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Over 30
Price is $21.69
Delivery by Wed, Nov 05
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Over 30
Price is $52.19
Unit of measure 50/Pack
Free delivery by Wed, Nov 05
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Price is $17.39
Unit of measure 50/Pack
Delivery by Fri, Oct 31
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Price is $34.49
Unit of measure 50/Pack
Delivery by Fri, Oct 31
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Over 30
Price is $67.59
Unit of measure 50/Pack
Free delivery by Fri, Oct 31
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Over 30
Price is $33.29
Delivery by Wed, Nov 05
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Over 30
Price is $25.59
Unit of measure 50/Pack
Delivery by Fri, Oct 31
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Over 30
Price is $11.19, Regular price was $13.99, You save 20%
Unit of measure Dozen Price per unit $0.93/Pad
Delivery by Tue, Oct 28
30-min pickup
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Over 30
Price is $17.09
Delivery by Wed, Nov 05
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