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ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
$86.59
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ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542709_sc7
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542704_sc7
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542706_sc7
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
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2500/pack
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Only $9.89 Staples Smooth Paper Clips, 1000/pack. Add to cart.
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TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
Price is $86.29
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Customers bought together
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542704_sc7ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542709_sc7
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) is Your Product
Price is $86.59
ACCO Recycled Classification Folder, 2 Partition, 10/Box (ACC15026)~#|#~m000053263_sc7
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Price for all 4
$226.26
    • Details

    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"

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    Specifications
    Specifications table
    Attribute nameAttribute value
    Length in Inches 11
    Series or Collection
    		CMS-1500
    Pack Qty 2500
    Sustainable Forestry Initiative certified
    		Yes
    Medical Form Pack Size 2500
    Number of Parts 1
    Form Size
    		8 1/2" x 11"
    Acid Free
    		Acid Free
    Width in Inches
    		8.5
    Medical Form Type Health Insurance Claims
    Print Type Laser
    True Color
    		White/Red
    Reviews

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    Your product
    ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
    Price is $86.59

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    Product specifications table
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    Your product
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    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
    Price is $25.39
    ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)~#|#~652ADB45-0A5E-495C-B7A6ABBF7660E69C_sc7
    Price is $15.79
    ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)~#|#~8C5CF2B1-C564-4834-B70E58035F19DEAC_sc7
    Price is $40.99
    Reviews
    4.8
    57
    3.3
    3
    No reviews yet
    4.9
    12
    4.7
    31
    4.8
    19
    4.7
    67
    No reviews yet
    4.9
    42
    4.6
    25
    No reviews yet
    No reviews yet
    Delivery Information
    Free delivery by Fri, May 02
    Free delivery by Fri, May 02
    Free delivery by Fri, May 02
    Free Next-Day eligible by tomorrow
    Free delivery by Fri, May 02
    Next-Day Delivery by tomorrow
    Next-Day Delivery by tomorrow
    Free delivery by Fri, May 02
    Free Next-Day eligible by tomorrow
    Delivery by Fri, May 02
    Delivery by Fri, May 02
    Free delivery by Fri, May 02
    Available in my store
    No
    No
    No
    No
    No
    No
    Yes
    No
    No
    No
    No
    No
    Medical Form Pack Size
    2500
    2500
    500
    500
    500
    250
    100
    2500
    1000
    250
    100
    500
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Dental Claims
    Health Insurance Claims
    Health Insurance Claims
    Dental Claims
    Dental Claims
    True Color
    White / Red
    White / Red
    White / Blue
    White / Red
    White / Red
    White
    White / Red
    White
    White / Red
    White / Red
    White
    White
    Length in Inches
    11
    Data not available
    Data not available
    11
    11
    11
    11
    11
    11
    11
    11
    11
    Number of Parts
    1
    1
    Data not available
    1
    1
    Data not available
    1
    1
    1
    1
    1
    1
    Width in Inches
    8.5
    Data not available
    Data not available
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    Print Type
    Laser
    Laser
    Data not available
    Laser
    Laser
    Laser
    Data not available
    Laser
    Laser
    Laser
    Laser
    Laser
    Pack Qty
    2500
    250
    1
    1
    500
    Data not available
    100
    Data not available
    1000
    250
    Data not available
    Data not available
    Form Size
    8 1 / 2" x 11"
    Data not available
    9" x 12.5"
    8 1 / 2" x 11"
    Data not available
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8-1 / 2" x 11"
    Data not available
    Data not available
    8-1 / 2" X 11"
    8-1 / 2" x 11"
    Acid Free
    Acid Free
    Data not available
    Data not available
    Data not available
    Acid Free
    Data not available
    Data not available
    Acid Free
    Acid Free
    Acid Free
    Acid Free
    Acid Free
    Series or Collection
    CMS-1500
    UB-04 CMS-1450
    CMS-1500
    CMS-1500
    Data not available
    CMS-1500
    CMS-1500
    Data not available
    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
    Data not available
    Data not available
    Data not available
    Data not available
    Yes
    Data not available
    Data not available
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