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.
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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"
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Page 1 of 4
Price is $93.89
Unit of measure 2500/Carton
Free delivery by Fri, May 22
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Delivery by Fri, May 22
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Price is $93.79
Free delivery by Thu, May 21
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Price is $15.99
Unit of measure 6/Pack Price per unit $2.66/Roll
Next-Day Delivery by Mon, May 18
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Delivery by Tue, May 26
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Compare similar items
| Attributes | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500) | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) | 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 $146.69 |  Price is $51.89 |  Price is $93.89 |  Price is $24.79 | |
| Reviews | |||||
| Delivery Information | Free delivery by Fri, May 22 | Free delivery by Fri, May 22 | Free Next-Day eligible by Mon, May 18 | Free delivery by Fri, May 22 | Next-Day Delivery by Mon, May 18 |
| Available in my store | No | No | No | No | Yes |
| Medical Form Pack Size | 2500 | 500 | 500 | 2500 | 100 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| True Color | White / Red | White / Blue | White / Red | White / Red | White / Red |
| Length in Inches | 11 | Data not available | 11 | Data not available | 11 |
| Width in Inches | 8.5 | Data not available | 8.5 | Data not available | 8.5 |
| Print Type | Laser | Data not available | Laser | Laser | Data not available |
| Number of Parts | 1 | Data not available | 1 | 1 | 1 |
| Form Size | 8 1 / 2" x 11" | 9" x 12.5" | 8 1 / 2" x 11" | Data not available | 8 1 / 2" x 11" |
| Pack Qty | 2500 | 1 | 1 | 250 | 100 |
| Acid Free | Acid Free | Data not available | Data not available | Data not available | Data not available |
| Series or Collection | CMS-1500 | CMS-1500 | CMS-1500 | UB-04 CMS-1450 | 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 |
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Price is $49.59
Unit of measure 250/Box
Free delivery by Thu, May 21
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Delivery by Wed, May 27
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Unit of measure 100/Pack
Delivery by Thu, May 21
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Price is $65.39
Unit of measure 500/Ream
Free delivery by Thu, May 21
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Price is $81.69
Unit of measure 500/Box
Free delivery by Thu, May 21
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