ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
$91.89
1
Highlights
View all details
- 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
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
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
Page 1 of 4
Price is $93.89
Unit of measure 2500/Carton
Free delivery by Mon, May 04
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $127.99
Unit of measure 500/Box
Free delivery by Mon, May 04
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $42.49
Unit of measure 100/Pack
Free delivery by Tue, Apr 28
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $43.69
Unit of measure 100/Pack
Free delivery by Mon, May 04
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $62.59
Free delivery by Tue, May 05
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Compare similar items
| Attributes | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) Price is $91.89 |  Price is $51.89 |  Price is $24.79 |  Price is $27.69 |  Price is $85.89 | |
| Reviews | |||||
| Delivery Information | Free delivery by Mon, May 04 | Free delivery by Tue, Apr 28 | Delivery by Tue, Apr 28 | Delivery by Mon, May 04 | Free delivery by Tue, Apr 28 |
| Available in my store | No | No | Yes | No | No |
| Medical Form Pack Size | 2500 | 500 | 100 | 250 | 1000 |
| 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 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Print Type | Laser | Laser | Data not available | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Pack Qty | 2500 | 1 | 100 | 250 | 1000 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available | Data not available |
| Acid Free | Acid Free | Data not available | Data not available | Acid Free | Acid Free |
| Series or Collection | CMS-1500 | CMS-1500 | CMS-1500 | Data not available | Data not available |
| Sustainable Forestry Initiative certified | Yes | Data not available | Data not available | Yes | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Page 1 of 3
Price is $26.49
Unit of measure 50/Pack
Delivery by Fri, May 01
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $24.49
Unit of measure 100/Pack
Delivery by Fri, May 01
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $26.49
Unit of measure 50/Pack
Delivery by Fri, May 01
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, May 01
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
Price is $60.79
Unit of measure 50/Pack
Free delivery by Fri, May 01
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Add to list
