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
Final price is $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"
Frequently bought together
Page 1 of 1
Price is $164.79
Unit of measure 500/Box
Free delivery by Tue, Apr 14
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Price is $42.49
Unit of measure 100/Pack
Free delivery by Tue, Apr 07
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Price is $24.79
Unit of measure 100/Pack
Delivery by Tue, Apr 07
30-min pickup
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Price is $43.69
Unit of measure 100/Pack
Free delivery by Tue, Apr 14
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Price is $479.99
Free delivery by Tue, Apr 14
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Price is $19.99
Unit of measure Dozen Price per unit $1.67/Pen
Delivery by Tue, Apr 07
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Price is $62.59
Free delivery by Mon, Apr 13
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Price is $253.69
Free delivery by Thu, Apr 16
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Price is $25.39
Unit of measure 500/Roll
Delivery by Tue, Apr 07
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Price is $26.69
Unit of measure 500/Roll
Delivery by Tue, Apr 07
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Price is $26.69
Unit of measure 500/Roll
Delivery by Tue, Apr 07
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Price is $68.99
Unit of measure 50/Box Price per unit $1.38/File Jacket
Free delivery by Tue, Apr 07
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Price is $25.29
Unit of measure 500/Roll
Delivery by Tue, Apr 07
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Price is $32.19
Unit of measure 500/Box Price per unit $0.06/Envelope
Delivery by Tue, Apr 07
30-min pickup
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Price is $24.69
Unit of measure 500/Roll
Delivery by Tue, Apr 07
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Price is $101.59
Unit of measure 500/Box
Free delivery by Tue, Apr 07
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Price is $146.69
Free delivery by Tue, Apr 14
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Price is $24.39
Delivery by Tue, Apr 07
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Price is $69.69
Unit of measure 250/Box
Free delivery by Tue, Apr 07
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Compare similar items
| Attributes | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500) | Tabbies Healthcare Patient Privacy Sign-In Sheets, 11"L x 8.5"W, 125/Pack (14531) | ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) Price is $91.89 |  Price is $24.79 |  Price is $146.69 |  Price is $73.89 |  Price is $34.09 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Apr 14 | Delivery by Tue, Apr 07 | Free delivery by Tue, Apr 14 | Free delivery by Wed, Apr 08 | Delivery by Tue, Apr 07 |
| Available in my store | No | Yes | No | No | No |
| Medical Form Pack Size | 2500 | 100 | 500 | 125 | 250 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Privacy Sign-In Sheets | Health Insurance Claims |
| True Color | White / Red | White / Red | White / Blue | Blue | White |
| Length in Inches | 11 | 11 | Data not available | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | Data not available | 8.5 | 8.5 |
| Print Type | Laser | Data not available | Data not available | Inkjet / Laser | Laser |
| Pack Qty | 2500 | 100 | 1 | 125 | Data not available |
| Number of Parts | 1 | 1 | Data not available | 1 | Data not available |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | 9" x 12.5" | 8 1 / 2" x 11" | 8 1 / 2" x 11" |
| Series or Collection | CMS-1500 | CMS-1500 | CMS-1500 | Data not available | CMS-1500 |
| Acid Free | Acid Free | 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 |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
