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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
$26.99
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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
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)

Item #: 125555Model #: CMS12LC250
Final price is $26.99
250/box
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Price is $48.09
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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", Pack of 250 (CMS12LC250)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) is Your Product
Price is $26.99
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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"

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    Product specifications table
    Attributes 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", Pack of 500 (CMS12LC500) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)
    Your product
    Price is $26.99
    Reviews
    4.6
    25
    4.7
    31
    4.7
    21
    4.9
    42
    3.3
    3
    Delivery Information
    Delivery by Mon, Nov 03
    Free delivery by Mon, Nov 03
    Delivery by Tue, Oct 28
    Free delivery by Tue, Oct 28
    Free delivery by Mon, Nov 03
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Medical Form Pack Size
    250
    500
    250
    1000
    2500
    Length in Inches
    11
    11
    11
    11
    Data not available
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    Data not available
    True Color
    White / Red
    White / Red
    White
    White / Red
    White / Red
    Print Type
    Laser
    Laser
    Laser
    Laser
    Laser
    Number of Parts
    1
    1
    Data not available
    1
    1
    Acid Free
    Acid Free
    Acid Free
    Data not available
    Acid Free
    Data not available
    Pack Qty
    250
    500
    Data not available
    1000
    250
    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