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 $93.89
Unit of measure 2500/Carton
Free delivery by Tue, Jun 23
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Price is $88.39
Unit of measure 500/Box
Free Next-Day eligible by tomorrow
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Price is $85.89
Unit of measure 1000/Carton
Free Next-Day eligible by tomorrow
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Price is $819.99
Free delivery by Thu, Jun 18
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Price is $19.99
Unit of measure 6/Pack Price per unit $3.33/Roll
Next-Day Delivery by tomorrow
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Price is $113.59
Unit of measure 4000/Carton Price per unit $0.03/Pads
Free Next-Day eligible by tomorrow
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Price is $7.39
Next-Day Delivery by tomorrow
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Price is $12.39
Unit of measure 3/Pack Price per unit $4.13/Sign
Next-Day Delivery by tomorrow
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Price is $24.59
Delivery by Fri, Jun 19
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Price is $146.69
Free delivery by Tue, Jun 23
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Price is $14.49
Unit of measure 250/Pack
Next-Day Delivery by tomorrow
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Price is $81.99
Unit of measure 500/Carton Price per unit $0.16/Plate
Free Next-Day eligible by tomorrow
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Price is $37.59
Unit of measure 12/Carton
Free delivery by Tue, Jun 23
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Price is $127.99
Unit of measure 500/Box
Free delivery by Tue, Jun 23
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Price is $27.49
Unit of measure 100/Box Price per unit $0.28/Envelope
Next-Day Delivery by tomorrow
30-min pickup
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Price is $13.69
Unit of measure 15/Pack
Delivery by Mon, Jun 22
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Price is $12.99
Unit of measure 25/Pack
Delivery by Mon, Jun 22
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Price is $22.09
Next-Day Delivery by tomorrow
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Compare similar items
| Attributes | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) | ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500) | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) Price is $91.89 |  Price is $51.89 |  Price is $85.89 |  Price is $146.69 |  Price is $93.89 | |
| Reviews | |||||
| Delivery Information | Free delivery by Tue, Jun 23 | Free Next-Day eligible by tomorrow | Free Next-Day eligible by tomorrow | Free delivery by Tue, Jun 23 | Free delivery by Tue, Jun 23 |
| Available in my store | No | No | No | No | No |
| True Color | White / Red | White / Red | White / Red | White / Blue | White / Red |
| Width in Inches | 8.5 | 8.5 | 8.5 | Data not available | Data not available |
| Length in Inches | 11 | 11 | 11 | Data not available | Data not available |
| Pack Qty | 2500 | 1 | 1000 | 1 | 250 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| Medical Form Pack Size | 2500 | 500 | 1000 | 500 | 2500 |
| Form Size | 8 1 / 2" x 11" | 8 1 / 2" x 11" | Data not available | 9" x 12.5" | Data not available |
| Number of Parts | 1 | 1 | 1 | Data not available | 1 |
| Print Type | Laser | Laser | Laser | Data not available | Laser |
| Acid Free | Acid Free | Data not available | Acid Free | Data not available | Data not available |
| Series or Collection | CMS-1500 | CMS-1500 | Data not available | CMS-1500 | UB-04 CMS-1450 |
| Price Per Unit | Data not available | 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 |
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Page 1 of 1
Price is $102.79
Free delivery by Mon, Jun 22
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Price is $299.99
Free delivery by Thu, Jun 18
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Price is $103.39
Free delivery by Fri, Jun 19
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Price is $173.79
Free delivery by Fri, Jun 19
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