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
Final price is $89.59
2500/pack
Free Returns
Online. In store. Always free.
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ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) is Your Product
Price is $89.59
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Pendaflex End Tab File Folder, Straight Cut, Letter Size, Manila, 100/Box (1007040) is New at Staples
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Price for all 4
$194.56
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 $16.49
Unit of measure Dozen Price per unit $1.37/Highlighter
Delivery by Wed, Jun 11
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Price is $20.49
Unit of measure 12/Pack Price per unit $0.02/Post-it® Note
Delivery by Wed, Jun 11
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Price is $16.39
Unit of measure 10/Pack Price per unit $1.64/Correction Tape
Delivery by Wed, Jun 11
1-hr pickup
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Over 30
Price is $18.99
Unit of measure 1000/Pack Price per unit $0.02/Paper Clip
Delivery by Wed, Jun 11
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Over 30
Price is $15.99, Regular price was $19.49, You save 17%
Unit of measure 10/Pack Price per unit $1.60/Correction Tape
Delivery by Wed, Jun 11
1-hr pickup
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Over 30
Price is $16.99, Regular price was $20.59, You save 17%
Unit of measure 100/Box Price per unit $0.17/File Folder
Delivery by Wed, Jun 11
1-hr pickup
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Price is $10.59, Regular price was $12.69, You save 16%
Unit of measure Dozen Price per unit $0.88/Marker
Delivery by Wed, Jun 11
1-hr pickup
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Over 30
Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Delivery by Wed, Jun 11
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
Delivery by Wed, Jun 11
1-hr pickup
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Over 30
Price is $6.99, Regular price was $8.69, You save 19%
Unit of measure 60/Pack Price per unit $0.12/Pen
Delivery by Wed, Jun 11
1-hr pickup
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Price is $9.99
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
Delivery by Wed, Jun 11
1-hr pickup
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Over 30
Price is $27.99, Regular price was $31.69, You save 11%
Unit of measure 250/Box Price per unit $0.11/File Folder
Delivery by Wed, Jun 11
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Over 30
Price is $6.99, Regular price was $8.19, You save 14%
Unit of measure 4/Pack Price per unit $1.75/Correction Tape
Delivery by Wed, Jun 11
1-hr pickup
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Price is $9.99, Regular price was $11.99, You save 16%
Unit of measure 12/Pack Price per unit $0.83/Pad
Delivery by Wed, Jun 11
1-hr pickup
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Price is $13.99
Unit of measure 144/Pack Price per unit $0.10/Binder Clip
Delivery by Wed, Jun 11
1-hr pickup
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Price is $20.49
Unit of measure Dozen Price per unit $1.71/Pen
Delivery by Wed, Jun 11
1-hr pickup
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Price is $18.29
Unit of measure 12/Pack Price per unit $1.52/Roll
Delivery by Wed, Jun 11
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Price is $8.69
Unit of measure 12/Pack Price per unit $0.72/Binder Clip
Delivery by Wed, Jun 11
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Price is $7.59
Unit of measure 24/Pack Price per unit $0.32/Binder Clip
Delivery by Wed, Jun 11
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Price is $17.89
Unit of measure 1000/Pack Price per unit $0.02/Paper Clip
Delivery by Wed, Jun 11
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", Box of 1,000 (CMS12LC1) | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) | ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) Price is $89.59 |  Price is $83.79 |  Price is $89.29 |  Price is $143.09 |  Price is $46.89 | |
| Reviews | |||||
| Delivery Information | Free delivery by Wed, Jun 18 | Free delivery by Wed, Jun 11 | Free delivery by Wed, Jun 18 | Free delivery by Wed, Jun 18 | Free delivery by Wed, Jun 18 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 2500 | 1000 | 2500 | 500 | 500 |
| 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 | Data not available | 11 |
| Width in Inches | 8.5 | 8.5 | Data not available | Data not available | 8.5 |
| True Color | White / Red | White / Red | White / Red | White / Blue | White / Red |
| Print Type | Laser | Laser | Laser | Data not available | Laser |
| Number of Parts | 1 | 1 | 1 | Data not available | 1 |
| Pack Qty | 2500 | 1000 | 250 | 1 | 500 |
| Form Size | 8 1 / 2" x 11" | Data not available | Data not available | 9" x 12.5" | Data not available |
| Acid Free | Acid Free | Acid Free | Data not available | Data not available | Acid Free |
| Series or Collection | CMS-1500 | Data not available | UB-04 CMS-1450 | CMS-1500 | 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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Price is $20.19
Delivery by Thu, Jun 19
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Price is $21.19
Unit of measure 50/Pack
Delivery by Mon, Jun 16
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Price is $44.99, Regular price was $79.99, You save 43%
Unit of measure 5000/Carton
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Price is $41.99, Regular price was $68.99, You save 39%
Unit of measure 4000/Carton
Free delivery by Wed, Jun 11
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Price is $21.95
Delivery by Thu, Jun 19
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Price is $21.69
Delivery by Thu, Jun 19
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Price is $45.79
Unit of measure 100/Pack
Free delivery by Mon, Jun 16
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Price is $21.59
Unit of measure 50/Pack
Delivery by Mon, Jun 16
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Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Delivery by Wed, Jun 11
1-hr pickup
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Price is $32.09
Unit of measure 100/Pack
Delivery by Mon, Jun 16
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Price is $49.59
Unit of measure 250/Box
Free delivery by Mon, Jun 16
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Price is $26.49
Unit of measure 50/Pack
Delivery by Mon, Jun 16
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Price is $32.09
Unit of measure 50/Pack
Delivery by Mon, Jun 16
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Price is $33.29
Delivery by Thu, Jun 19
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Price is $17.95
Delivery by Thu, Jun 19
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