ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
$26.99
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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
Final price is $26.99
250/box
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
Price is $15.09
Unit of measure 500/Roll
Delivery by Tue, Oct 14
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Price is $40.49
Free delivery by Wed, Oct 15
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Price is $45.99
Free delivery by Tue, Oct 14
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Over 30
Price is $18.99
Delivery by Thu, Oct 16
30-min pickup
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Price is $40.29
Unit of measure 4000/Carton Price per unit $0.01/Sheet
Free Next-Day eligible by tomorrow
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Price is $62.29
Unit of measure 1500/Box Price per unit $0.04/Label
Free Next-Day eligible by tomorrow
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Over 30
Price is $12.59
Price per unit $0.39/Fl Oz
Next-Day Delivery by tomorrow
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Price is $80.69
Unit of measure 1000/Box Price per unit $0.08/Tag
Free Next-Day eligible by tomorrow
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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 $16.49
Unit of measure 24/Pack
Next-Day Delivery by tomorrow
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Over 30
Price is $7.69
Unit of measure 2/Pack Price per unit $5.74/Fl Oz
Next-Day Delivery by tomorrow
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Over 30
Price is $48.99
Free Next-Day eligible by tomorrow
30-min pickup
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Price is $41.39
Unit of measure 50/Carton
Free delivery by Fri, Oct 10
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Price is $40.49
Unit of measure 25/Pack
Free Next-Day eligible by tomorrow
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Price is $23.69
Unit of measure 6/Pack
Next-Day Delivery by tomorrow
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Price is $16.39
Unit of measure 50/Pack Price per unit $0.33/Cup
Next-Day Delivery by tomorrow
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Price is $51.19
Unit of measure 200/Carton Price per unit $0.26/Bag
Free Next-Day eligible by tomorrow
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Price is $16.79
Unit of measure 18/Pack Price per unit $0.93/Pad
Next-Day Delivery by tomorrow
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2025-2026 AT-A-GLANCE 8.25" x 11" Academic Year Weekly Appointment Book, Faux Leather Cover, Black (70-957-05-26)Â is In-store only
Price is $32.79
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30-min pickup
Price is $9.49
Unit of measure 6/Pack Price per unit $1.58/Eraser
Next-Day Delivery by tomorrow
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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 $26.99 |  Price is $48.09 |  Price is $24.79 |  Price is $34.09 |  Price is $85.89 | |
| Reviews | |||||
| Delivery Information | Delivery by Tue, Oct 14 | Free delivery by Tue, Oct 14 | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow | Free Next-Day eligible by tomorrow |
| 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 |
| Medical Form Pack Size | 250 | 500 | 100 | 250 | 1000 |
| True Color | White / Red | White / Red | White / Red | White | White / Red |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Print Type | Laser | Laser | Data not available | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | Data not available | 1 |
| Acid Free | Acid Free | Acid Free | Data not available | Data not available | Acid Free |
| Pack Qty | 250 | 500 | 100 | Data not available | 1000 |
| 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 $20.19
Delivery by Thu, Oct 16
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Price is $52.19
Unit of measure 50/Pack
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Price is $166.39
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Price is $21.95
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Price is $59.59
Free delivery by Thu, Oct 16
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Price is $52.59
Unit of measure 50/Pack
Free delivery by Mon, Oct 13
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Price is $151.79
Unit of measure 250/Pack
Free delivery by Mon, Oct 13
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Price is $306.69
Free delivery by Thu, Oct 16
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Price is $15.99
Unit of measure 10/Pack
Delivery by Mon, Oct 13
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Price is $60.79
Unit of measure 50/Pack
Free delivery by Mon, Oct 13
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Price is $57.29
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Price is $33.29
Delivery by Thu, Oct 16
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Price is $17.39
Unit of measure 100/Pack
Delivery by Mon, Oct 13
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Price is $32.09
Unit of measure 100/Pack
Delivery by Mon, Oct 13
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Price is $17.95
Delivery by Thu, Oct 16
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