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ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
$89.59
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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
$89.59
2500/pack
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Price is $83.79
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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 $89.59
Smead SuperTab File Folder, Oversized 1/3-Cut Tab, Letter Size, Assorted Colors, 100/Box (11987)~#|#~A8382A91-ECCB-4860-94C7F1B9F60C9F32_sc7Smead SuperTab File Folder, Oversized 1/3-Cut Tab, Letter Size, Assorted Colors, 100/Box (11987)~#|#~718E21FF-48EE-422A-9DD17A5135D55A37_sc7
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Staples Laser/Inkjet Address Labels, 1" x 2-5/8", White, 30 Labels/Sheet, 100 Sheets/Pack (ST18057-CC)~#|#~502D9030-C8DA-4BF8-ACCD6BA4984C0AC2_sc7Staples Laser/Inkjet Address Labels, 1" x 2-5/8", White, 30 Labels/Sheet, 100 Sheets/Pack (ST18057-CC)~#|#~604F721E-EE54-4E46-8A4192452474960D_sc7
Price is $26.79
Oxford Tri-Fold Folder w/3 Pockets, Holds 150 Letter-Size Sheets, Red, 20/BX~#|#~s0867164_sc7Oxford Tri-Fold Folder w/3 Pockets, Holds 150 Letter-Size Sheets, Red, 20/BX~#|#~m002293938_sc7
Price is $44.69
Price for all 4
$223.66
  • 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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    Product specifications table
    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) Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
    Your product
    Price is $89.59
    Reviews
    4.8
    58
    4.9
    42
    4.7
    67
    4.8
    19
    4.6
    25
    Delivery Information
    Free delivery by Tue, Sep 02
    Free delivery by Tue, Aug 26
    Delivery by Tue, Aug 26
    Delivery by Tue, Aug 26
    Delivery by Tue, Sep 02
    Available in my store
    No
    No
    Yes
    No
    No
    Length in Inches
    11
    11
    11
    11
    11
    Medical Form Pack Size
    2500
    1000
    100
    250
    250
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    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 / Red
    White
    White / Red
    Form Size
    8 1 / 2" x 11"
    Data not available
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    Data not available
    Print Type
    Laser
    Laser
    Data not available
    Laser
    Laser
    Number of Parts
    1
    1
    1
    Data not available
    1
    Pack Qty
    2500
    1000
    100
    Data not available
    250
    Acid Free
    Acid Free
    Acid Free
    Data not available
    Data not available
    Acid Free
    Series or Collection
    CMS-1500
    Data not available
    CMS-1500
    CMS-1500
    Data not available
    Sustainable Forestry Initiative certified
    Yes
    Data not available
    Data not available
    Data not available
    Yes
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart