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 $38.09
Unit of measure Box
Free delivery by Mon, Jul 06
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Price is $49.99
Unit of measure 3000/Carton
Free delivery by Tue, Jul 07
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Price is $11.29
Unit of measure 3/Pack Price per unit $3.76/Envelope
Next-Day Delivery by Mon, Jun 29
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Price is $14.89
Unit of measure 10/Pack Price per unit $1.49/Folder
Next-Day Delivery by Mon, Jun 29
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Price is $9.99
Delivery by Tue, Jun 30
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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) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) | 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 $27.69 |  Price is $48.09 |  Price is $34.09 |  Price is $24.79 |  Price is $51.89 | |
| Reviews | |||||
| Delivery Information | Delivery by Mon, Jul 06 | Free delivery by Mon, Jul 06 | Next-Day Delivery by Mon, Jun 29 | Next-Day Delivery by Mon, Jun 29 | Free Next-Day eligible by Mon, Jun 29 |
| Available in my store | No | No | No | Yes | 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 | 100 | 500 |
| 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 | Data not available | Laser |
| Number of Parts | 1 | 1 | Data not available | 1 | 1 |
| Pack Qty | 250 | 500 | Data not available | 100 | 1 |
| 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 |
Featured Products
Page 1 of 3
Price is $49.59
Unit of measure 250/Box
Free delivery by Thu, Jul 02
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Price is $81.69
Unit of measure 500/Box
Free delivery by Thu, Jul 02
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Price is $17.09
Delivery by Wed, Jul 08
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Price is $15.09
Unit of measure 50/Pack
Delivery by Thu, Jul 02
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Price is $12.69
Unit of measure 50/Pack
Delivery by Thu, Jul 02
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