https://www.staples-3p.com/s7/is/image/Staples/sp174542709_sc7
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
$86.59
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
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542709_sc7
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542704_sc7
ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)~#|#~sp174542706_sc7
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
Show all reviews
2 Questions
2500/pack
First time subscribers save 5% off your entire AutoRestock order! Save up to 10% on all following orders. Learn more

Free Returns

Online. In store. Always free.

Learn More

Only $9.89 Staples Smooth Paper Clips, 1000/pack. Add to cart.
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
TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
Price is $86.29
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
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 $86.59
ACCO Recycled Classification Folder, 2 Partition, 10/Box (ACC15026)~#|#~m000053263_sc7
Price is $66.09
Avery Easy Peel Laser Return Address Labels, 2/3" x 1 3/4", White, 1,500 Labels/Pack (5195)~#|#~E1803A66-845D-465F-BE1F89C939B929D4_sc7Avery Easy Peel Laser Return Address Labels, 2/3" x 1 3/4", White, 1,500 Labels/Pack (5195)~#|#~E89A81DF-6F3C-41A5-B0016B136B4AB4EA_sc7
Price is $16.99
Staples 10% Recycled Smooth 2-Pocket Paper Presentation Folder, Green, 10/Pack (13379-US)~#|#~9F3C7464-05A8-4DD8-BB74DCA94C8758EC_sc7Staples 10% Recycled Smooth 2-Pocket Paper Presentation Folder, Green, 10/Pack (13379-US)~#|#~DBD19022-9FA4-49B8-BBAB99D5B05D1DBA_sc7
Price is $13.69
Price for all 4
$183.36
    • Details

    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

    Sharpie S-Gel Retractable Gel Pens, 0.38 mm, Ultra Fine Point, Black Ink, Dozen (2140521)~#|#~600D11FD-1C7A-4520-B84E81C0AAD4002C_sc7Sharpie S-Gel Retractable Gel Pens, 0.38 mm, Ultra Fine Point, Black Ink, Dozen (2140521)~#|#~9D1B556E-E247-4782-BBDD4EBDD48EBF6F_sc7
    Price is $18.39
    Unit of measure Dozen Price per unit $1.53/Pen
    Delivery by Tue, May 06
    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
    BIC Brite Liner Stick Highlighter, Chisel Tip, Assorted, 24/Pack (BL241AST)~#|#~C5BC5756-1A6C-4C76-A9905AC0E04683A0_sc7BIC Brite Liner Stick Highlighter, Chisel Tip, Assorted, 24/Pack (BL241AST)~#|#~06BE2B12-428E-47FD-9231376C6D2A88DD_sc7
    Price is $16.39
    Unit of measure 24/Pack Price per unit $0.68/Highlighter
    Delivery by Tue, May 06
    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
    Pilot Precise V5 RT Retractable Rollerball Pens, Extra Fine Point, 0.5mm, Blue Ink, Dozen (26063)~#|#~sp162572638_sc7Pilot Precise V5 RT Retractable Rollerball Pens, Extra Fine Point, 0.5mm, Blue Ink, Dozen (26063)~#|#~sp162572619_sc7
    Price is $23.99
    Unit of measure Dozen Price per unit $2.00/Pen
    Delivery by Tue, May 06
    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
    BIC Soft Feel Retractable Ballpoint Pen, Medium Point, 1.0mm, Assorted Ink, 36 Pack (SCSM361-AST)~#|#~4CE400EF-1FBD-4141-8D013BD037E272FA_sc7BIC Soft Feel Retractable Ballpoint Pen, Medium Point, 1.0mm, Assorted Ink, 36 Pack (SCSM361-AST)~#|#~F67A3674-A585-4D4E-84E8AD8FAAAA3FB4_sc7
    Price is $17.99
    Unit of measure 36/Pack Price per unit $0.50/Pen
    Delivery by Tue, May 06
    1-hr pickup
    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
    Staples® Invisible Clear Tape, 0.75" x 36 yds., 1" Core, Transparent, 6 Rolls/Pack (52380P6)~#|#~1E59DEA6-6291-4BEF-9CF41BBB17E9E869_sc7Staples® Invisible Clear Tape, 0.75" x 36 yds., 1" Core, Transparent, 6 Rolls/Pack (52380P6)~#|#~144143D3-5E74-435E-B1FA42E81FD64A18_sc7
    Price is $12.99
    Unit of measure 6/Pack Price per unit $2.16/Roll
    Delivery by Tue, May 06
    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
    Staples Recycled Notes, 3" x 3", Sunshine Collection, 100 Sheet/Pad, 12 Pads/Pack (S33YR12/52564)~#|#~7E0B4893-6D5C-4F90-8BE2195632DC38E7_sc7Staples Recycled Notes, 3" x 3", Sunshine Collection, 100 Sheet/Pad, 12 Pads/Pack (S33YR12/52564)~#|#~DB595E9A-9705-4621-AE29EDB8D32CC824_sc7
    33% off of Staples Recycled Notes, 3" x 3", Sunshine Collection, 100 Sheet/Pad, 12 Pads/Pack (S33YR12/52564)
    Price is $5.99, Regular price was $8.99, You save 33%
    Unit of measure Dozen
    Delivery by Tue, May 06
    1-hr pickup
    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
    BIC Wite-Out Correction Tape, White, 4/Pack (50589)~#|#~F7B223E8-9DBF-48AF-82A0DB71375F554F_sc7BIC Wite-Out Correction Tape, White, 4/Pack (50589)~#|#~52CEA232-31BF-463C-901C222C3FEA84B4_sc7
    Price is $8.19
    Unit of measure 4/Pack Price per unit $2.05/Correction Tape
    Delivery by Tue, May 06
    1-hr pickup
    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
    Post-it Notes, 3" x 3", Canary Collection, 100 Sheet/Pad, 12 Pads/Pack (654-12YW)~#|#~EC8283BA-EE0A-4C60-92938D6E89BA29D9_sc7Post-it Notes, 3" x 3", Canary Collection, 100 Sheet/Pad, 12 Pads/Pack (654-12YW)~#|#~54AEF998-2DD5-4EFA-B6CC8AA271777255_sc7
    8% off of Post-it Notes, 3" x 3", Canary Collection, 100 Sheet/Pad, 12 Pads/Pack (654-12YW)
    Price is $13.99, Regular price was $15.29, You save 8%
    Unit of measure Dozen Price per unit $0.01/Post-it® Note
    Delivery by Tue, May 06
    1-hr pickup
    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
    Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 100/Box (ST56675)~#|#~FD6708EB-0D9C-4710-B97EE04BFBA39232_sc7Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 100/Box (ST56675)~#|#~5C934D7B-B3EC-4A1C-AF00C0533240423D_sc7
    17% off of Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 100/Box (ST56675)
    Price is $16.99, Regular price was $20.49, You save 17%
    Unit of measure 100/Box Price per unit $0.17/File Folder
    Delivery by Tue, May 06
    1-hr pickup
    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
    Sharpie Permanent Marker, Fine Tip, Black, 12/Pack (30001)~#|#~sp161466825_sc7Sharpie Permanent Marker, Fine Tip, Black, 12/Pack (30001)~#|#~6064CE3F-ACD3-4B27-A2D57D95E89CA0DE_sc7
    Price is $12.39
    Unit of measure Dozen Price per unit $1.03/Marker
    Delivery by Tue, May 06
    1-hr pickup
    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
    BIC Wite-Out EZ Correct Correction Tape, White, 10/Pack (WOTAP10)~#|#~37145111-61CC-4778-8BA9E87A15E9782E_sc7BIC Wite-Out EZ Correct Correction Tape, White, 10/Pack (WOTAP10)~#|#~8E43A97B-9DA0-4CA2-902D89E2DEA6B770_sc7
    Price is $19.49
    Unit of measure 10/Pack Price per unit $1.95/Correction Tape
    Delivery by Tue, May 06
    1-hr pickup
    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
    Staples Notepads, 8.5" x 11.75", Wide Ruled, White, 50 Sheets/Pad, Dozen (ST57339M/57339)~#|#~s1212509_sc7Staples Notepads, 8.5" x 11.75", Wide Ruled, White, 50 Sheets/Pad, Dozen (ST57339M/57339)~#|#~51038708-2CBE-4495-8D10AD8D905CB9E1_sc7
    13% off of Staples Notepads, 8.5" x 11.75", Wide Ruled, White, 50 Sheets/Pad, Dozen (ST57339M/57339)
    Price is $16.99, Regular price was $19.59, You save 13%
    Unit of measure Dozen Price per unit $1.42/Pad
    Delivery by Tue, May 06
    1-hr pickup
    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
    BIC Round Stic Xtra-Life Ballpoint Pen, Medium Point, 1.0mm, Black Ink, 60/Pack (GSM609-BLK)~#|#~F14E33B0-6760-4445-931173C7A61A8896_sc7BIC Round Stic Xtra-Life Ballpoint Pen, Medium Point, 1.0mm, Black Ink, 60/Pack (GSM609-BLK)~#|#~AFD5FBB8-71A3-434C-989B74986834C3E5_sc7
    Price is $8.69
    Unit of measure 60/Pack Price per unit $0.14/Pen
    Delivery by Tue, May 06
    1-hr pickup
    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
    Staples Smooth Paper Clips, Silver, 100 Clips/Pack, 10/Pack (A7026607/72377)~#|#~2C8E80BB-F88F-4271-AC08B3B70FFEDD08_sc7Staples Smooth Paper Clips, Silver, 100 Clips/Pack, 10/Pack (A7026607/72377)~#|#~ACB66921-CE6F-4799-B5D9C1DA60D0E5AA_sc7
    Price is $10.19
    Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
    Delivery by Tue, May 06
    1-hr pickup
    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
    Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 250/Box (ST56673-CC)~#|#~0BCB0B2E-F722-4F55-974EF7E0F739293A_sc7Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 250/Box (ST56673-CC)~#|#~685E0358-7F19-4822-8885CC6495C67ECF_sc7
    9% off of Staples 30% Recycled File Folders, 1/3-Cut Tab, Letter Size, Manila, 250/Box (ST56673-CC)
    Price is $27.99, Regular price was $30.79, You save 9%
    Unit of measure 250/Box Price per unit $0.11/File Folder
    Delivery by Tue, May 06
    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
    Scotch Magic Invisible Clear Tape Refill, 0.75" x 27.77 yds., 1" Core, Invisible, 10 Rolls/Pack (810P10K)~#|#~47D65176-0F54-43CB-A1235DC05CE49BDF_sc7Scotch Magic Invisible Clear Tape Refill, 0.75" x 27.77 yds., 1" Core, Invisible, 10 Rolls/Pack (810P10K)~#|#~1BCE2F28-D030-446B-B89DB7AC97C4151A_sc7
    15% off of Scotch Magic Invisible Clear Tape Refill, 0.75" x 27.77 yds., 1" Core, Invisible, 10 Rolls/Pack (810P10K)
    Price is $16.99, Regular price was $19.99, You save 15%
    Unit of measure 10/Pack Price per unit $1.70/Roll
    Delivery by Tue, May 06
    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
    Staples Small Binder Clips, 0.38" Capacity, Black, 144 Clips/Pack (ST32002/32002)~#|#~s1215135_sc7Staples Small Binder Clips, 0.38" Capacity, Black, 144 Clips/Pack (ST32002/32002)~#|#~303AD32B-CAD9-4E2D-99A71E1DB00A5D0E_sc7
    Price is $10.59
    Unit of measure 144/Pack Price per unit $0.07/Binder Clip
    Delivery by Tue, May 06
    1-hr pickup
    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
    Staples Large Binder Clips, 1" Capacity, Black, 12 Clips/Pack (10669-CC)~#|#~s1215160_sc7Staples Large Binder Clips, 1" Capacity, Black, 12 Clips/Pack (10669-CC)~#|#~38CE1B7B-BD60-4CFD-B548856BB33DE8A8_sc7
    Price is $8.19
    Unit of measure 12/Pack Price per unit $0.68/Binder Clip
    Delivery by Tue, May 06
    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
    Pilot G2 Retractable Gel Pens, Fine Point, 0.7mm, Black Ink, Dozen (31020)~#|#~sp40286009_sc7Pilot G2 Retractable Gel Pens, Fine Point, 0.7mm, Black Ink, Dozen (31020)~#|#~sp130855922_sc7
    21% off of Pilot G2 Retractable Gel Pens, Fine Point, 0.7mm, Black Ink, Dozen (31020)
    Price is $15.99, Regular price was $20.49, You save 21%
    Unit of measure Dozen Price per unit $1.33/Pen
    Delivery by Tue, May 06
    1-hr pickup
    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
    Staples Notepads, 5" x 8", Narrow Ruled, White, 50 Sheets/Pad, Dozen (ST57338)~#|#~s1212081_sc7Staples Notepads, 5" x 8", Narrow Ruled, White, 50 Sheets/Pad, Dozen (ST57338)~#|#~E8EB58A6-1FCF-4A53-9DABEFD0F20E751E_sc7
    16% off of Staples Notepads, 5" x 8", Narrow Ruled, White, 50 Sheets/Pad, Dozen (ST57338)
    Price is $9.99, Regular price was $11.99, You save 16%
    Unit of measure 12/Pack Price per unit $0.83/Pad
    Delivery by Tue, May 06
    1-hr pickup
    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
    Specifications
    Specifications table
    Attribute nameAttribute value
    Length in Inches 11
    Series or Collection
    		CMS-1500
    Pack Qty 2500
    Sustainable Forestry Initiative certified
    		Yes
    Medical Form Pack Size 2500
    Number of Parts 1
    Form Size
    		8 1/2" x 11"
    Acid Free
    		Acid Free
    Width in Inches
    		8.5
    Medical Form Type Health Insurance Claims
    Print Type Laser
    True Color
    		White/Red
    Reviews

    Compare similar items

     
    Your product
    ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
    Price is $86.59

    Compare similar items

     
    Product specifications table
    Attributes ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) 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) ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
    Your product
    ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
    Price is $86.59
    TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
    Price is $86.29
    ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500)~#|#~CB10C34C-990A-4982-AA7ADEE633A9E839_sc7
    Price is $143.09
    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
    Price is $45.29
    ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
    Price is $32.09
    TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)~#|#~43D41C18-579A-4B95-856C2FF6A9BDA1E7_sc7
    Price is $48.89
    Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V)~#|#~sp38165292_sc7
    Price is $23.89
    ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)~#|#~30211E02-A935-406B-A6832AFD0B88E088_sc7
    Price is $125.99
    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
    Price is $25.39
    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
    Price is $80.99
    ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)~#|#~8C5CF2B1-C564-4834-B70E58035F19DEAC_sc7
    Price is $40.99
    Reviews
    4.8
    57
    3.3
    3
    No reviews yet
    4.7
    31
    4.8
    19
    4.9
    12
    4.7
    67
    No reviews yet
    4.6
    25
    4.9
    42
    No reviews yet
    Delivery Information
    Free delivery by Tue, May 13
    Free delivery by Tue, May 13
    Free delivery by Tue, May 13
    Free delivery by Tue, May 13
    Delivery by Tue, May 06
    Free delivery by Tue, May 06
    Delivery by Tue, May 06
    Free delivery by Tue, May 13
    Delivery by Tue, May 13
    Free delivery by Tue, May 06
    Free delivery by Tue, May 13
    Available in my store
    No
    No
    No
    No
    No
    No
    Yes
    No
    No
    No
    No
    Medical Form Pack Size
    2500
    2500
    500
    500
    250
    500
    100
    2500
    250
    1000
    500
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Dental Claims
    Health Insurance Claims
    Health Insurance Claims
    Dental Claims
    True Color
    White / Red
    White / Red
    White / Blue
    White / Red
    White
    White / Red
    White / Red
    White
    White / Red
    White / Red
    White
    Length in Inches
    11
    Data not available
    Data not available
    11
    11
    11
    11
    11
    11
    11
    11
    Number of Parts
    1
    1
    Data not available
    1
    Data not available
    1
    1
    1
    1
    1
    1
    Width in Inches
    8.5
    Data not available
    Data not available
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    Print Type
    Laser
    Laser
    Data not available
    Laser
    Laser
    Laser
    Data not available
    Laser
    Laser
    Laser
    Laser
    Pack Qty
    2500
    250
    1
    500
    Data not available
    1
    100
    Data not available
    250
    1000
    Data not available
    Form Size
    8 1 / 2" x 11"
    Data not available
    9" x 12.5"
    Data not available
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8-1 / 2" x 11"
    Data not available
    Data not available
    8-1 / 2" x 11"
    Series or Collection
    CMS-1500
    UB-04 CMS-1450
    CMS-1500
    Data not available
    CMS-1500
    CMS-1500
    CMS-1500
    Data not available
    Data not available
    Data not available
    Data not available
    Acid Free
    Acid Free
    Data not available
    Data not available
    Acid Free
    Data not available
    Data not available
    Data not available
    Acid Free
    Acid Free
    Acid Free
    Acid Free
    Sustainable Forestry Initiative certified
    Yes
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Yes
    Data not available
    Data not available
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart

    Featured Products