ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
$27.69
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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 Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
Item #: 125555Model #: CMS12LC250
$27.69
250/box
Free Returns
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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 4
Price is $183.29
Unit of measure 250/Box
Free delivery by Wed, Jul 22
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Price is $229.63
Free delivery by Fri, Jul 24
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Price is $49.99
Unit of measure 3000/Carton
Free delivery by Fri, Jul 24
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Price is $88.34
Unit of measure 5/Box
Free delivery by Wed, Jul 22
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Smead Seal & View Label Protectors, 8" x 1-11/16", Clear, 100/Pack (67608) is New at Staples
Price is $11.43
Unit of measure 100/Pack
Delivery by Wed, Jul 22
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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) | 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) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) Price is $27.69 |  Price is $48.09 |  Price is $34.09 |  Price is $51.89 |  Price is $24.79 | |
| Reviews | |||||
| Delivery Information | Delivery by Wed, Jul 22 | Free delivery by Wed, Jul 22 | Delivery by Tue, Jul 21 | Free delivery by Tue, Jul 21 | Delivery by Tue, Jul 21 |
| Available in my store | No | No | No | No | Yes |
| 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 | 500 | 100 |
| True Color | White / Red | White / Red | White | White / Red | 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 | Laser | Laser | Data not available |
| Number of Parts | 1 | 1 | Data not available | 1 | 1 |
| Pack Qty | 250 | 500 | Data not available | 1 | 100 |
| Acid Free | Acid Free | Acid Free | 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 3
Price is $49.59
Unit of measure 250/Box
Free delivery by Wed, Jul 22
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Price is $16.95
Delivery by Thu, Jul 23
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Price is $81.69
Unit of measure 500/Box
Free delivery by Wed, Jul 22
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Price is $57.29
Free delivery by Thu, Jul 23
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Price is $16.79
Unit of measure 100/Pack
Delivery by Wed, Jul 22
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