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
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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
$26.99
250/box
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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 $42.09
Unit of measure 100/Box
Free Next-Day eligible by tomorrow
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Price is $52.99
Free delivery by Fri, Mar 27
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Price is $59.19
Unit of measure 50/Box
Free delivery by Mon, Apr 06
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Price is $27.99
Unit of measure Dozen Price per unit $2.33/Pen
Next-Day Delivery by tomorrow
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Price is $50.09
Unit of measure 100/Box
Free Next-Day eligible 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 Form, 250/Box (CMS12LC250) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) |
|---|---|---|---|---|---|
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 $34.09 |  Price is $24.79 |  Price is $48.09 |  Price is $51.89 | |
| Reviews | |||||
| Delivery Information | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow | Free delivery by Thu, Mar 26 | 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 | 250 | 100 | 500 | 500 |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| True Color | White | White | White / Red | White / Red | White / Red |
| Print Type | Laser | Laser | Data not available | Laser | Laser |
| Number of Parts | Data not available | Data not available | 1 | 1 | 1 |
| Pack Qty | Data not available | Data not available | 100 | 500 | 1 |
| Acid Free | Data not available | Data not available | Data not available | Acid Free | Data not available |
| Sustainable Forestry Initiative certified | Data not available | 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 $26.49
Unit of measure 50/Pack
Delivery by Wed, Mar 25
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Price is $81.69
Unit of measure 500/Box
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Price is $65.29
Unit of measure 50/Pack
Free delivery by Wed, Mar 25
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Price is $21.89
Unit of measure 25/Pack
Delivery by Wed, Mar 25
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Price is $49.99, Regular price was $81.99, You save 39%
Unit of measure 5000/Carton
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