ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
$26.29
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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
MADE IN AMERICA
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
Item #: 125555Model #: CMS12LC250
250/box
Free Returns
Online. In store. Always free.
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Consider this similar product
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
Price is $20.69
Unit of measure 8/Pack Price per unit $2.59/Pen
Delivery by Fri, May 16
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Unit of measure 12/Set Price per unit $1.14/Marker
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Unit of measure Dozen Price per unit $1.55/Pen
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Price is $21.19
Unit of measure 100/Box Price per unit $0.21/File Folder
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Unit of measure Dozen Price per unit $0.01/Post-it® Note
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Price is $19.49
Unit of measure 10/Pack Price per unit $1.95/Correction Tape
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Unit of measure 60/Pack Price per unit $0.14/Pen
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Price is $10.79
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
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Unit of measure 4/Pack Price per unit $2.05/Correction Tape
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Delivery by Fri, May 16
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Price is $20.49
Unit of measure 10/Pack Price per unit $2.05/Roll
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Unit of measure 144/Pack Price per unit $0.08/Binder Clip
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Price is $8.69
Unit of measure 12/Pack Price per unit $0.72/Binder Clip
Delivery by Fri, May 16
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Unit of measure 24/Pack Price per unit $0.32/Binder Clip
Delivery by Fri, May 16
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Price is $17.89
Unit of measure 1000/Pack Price per unit $0.02/Paper Clip
Delivery by Fri, May 16
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Compare similar items
| 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) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | 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) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) Price is $26.29 |  Price is $46.89 |  Price is $24.79 |  Price is $33.19 |  Price is $83.79 | |
| Reviews | |||||
| Delivery Information | Delivery by Fri, May 23 | Free delivery by Fri, May 23 | Delivery by Fri, May 16 | Delivery by Fri, May 16 | Free delivery by Fri, May 16 |
| Available in my store | No | No | Yes | No | No |
| 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 | White / Red |
| Medical Form Pack Size | 250 | 500 | 100 | 250 | 1000 |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Number of Parts | 1 | 1 | 1 | Data not available | 1 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Print Type | Laser | Laser | Data not available | Laser | Laser |
| Pack Qty | 250 | 500 | 100 | Data not available | 1000 |
| Acid Free | Acid Free | Acid Free | Data not available | Data not available | Acid Free |
| 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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Price is $21.95
Delivery by Tue, May 27
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Unit of measure 50/Pack
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Price is $20.19
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Unit of measure 100/Pack
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Price is $37.89
Unit of measure 50/Pack
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Price is $46.09
Unit of measure 50/Pack
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Price is $40.19
Unit of measure 50/Pack
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37% off of Hammermill Copy Plus 8.5" x 11" Copy Paper, 20 lbs., 92 Brightness, 5000 Sheets/Carton (105007)
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Price is $45.79
Unit of measure 100/Pack
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Price is $28.69
Unit of measure 50/Pack
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Price is $26.49
Unit of measure 50/Pack
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Free delivery by Tue, May 27
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Price is $32.09
Unit of measure 100/Pack
Delivery by Wed, May 21
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Price is $65.29
Unit of measure 50/Pack
Free delivery by Wed, May 21
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Unit of measure 25/Pack
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