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
$26.29
250/box
Free Returns
Online. In store. Always free.
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Consider this similar product
Customers bought together
Price for all 4
$83.46
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 $6.69
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Price is $23.79
Unit of measure 6/Pack Price per unit $3.96/Roll
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Price is $0.50, Regular price was $3.09, You save 83%
Unit of measure 8/Pack Price per unit $0.06/Pencil
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Price is $16.99, Regular price was $20.59, You save 17%
Unit of measure 100/Box Price per unit $0.17/File Folder
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Price is $1.00, Regular price was $3.79, You save 73%
Unit of measure 3/Pack Price per unit $0.33/Eraser
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Price is $1.99, Regular price was $4.29, You save 53%
Unit of measure 5/Pack Price per unit $0.40/Highlighter
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Price is $0.50, Regular price was $2.19, You save 77%
Unit of measure Dozen Price per unit $0.04/Eraser
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Price is $9.99, Regular price was $12.69, You save 21%
Unit of measure Dozen Price per unit $0.83/Marker
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Price is $15.99, Regular price was $19.49, You save 17%
Unit of measure 10/Pack Price per unit $1.60/Correction Tape
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Price is $6.99, Regular price was $8.69, You save 19%
Unit of measure 60/Pack Price per unit $0.12/Pen
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Price is $0.25, Regular price was $0.79, You save 68%
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Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
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Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
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Price is $6.99, Regular price was $8.19, You save 14%
Unit of measure 4/Pack Price per unit $1.75/Correction Tape
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Price is $9.99
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
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Price is $4.29, Regular price was $7.29, You save 41%
Unit of measure 18/Pack Price per unit $0.24/Pencil
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Price is $27.99, Regular price was $31.69, You save 11%
Unit of measure 250/Box Price per unit $0.11/File Folder
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Price is $0.55, Regular price was $2.49, You save 77%
Price per unit $0.55/Folder
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Price is $0.55, Regular price was $2.59, You save 78%
Price per unit $0.55/Folder
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Price is $8.69
Unit of measure 12/Pack Price per unit $0.72/Binder Clip
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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) | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) |
|---|---|---|---|---|---|
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 $33.19 |  Price is $24.79 |  Price is $89.59 | |
| Reviews | |||||
| Delivery Information | Delivery by Tue, Jul 22 | Free delivery by Tue, Jul 22 | Next-Day Delivery by tomorrow | Next-Day Delivery by tomorrow | Free delivery by Tue, Jul 22 |
| 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 | 2500 |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| True Color | White / Red | White / Red | White | White / Red | White / Red |
| Number of Parts | 1 | 1 | Data not available | 1 | 1 |
| Print Type | Laser | Laser | Laser | Data not available | Laser |
| Pack Qty | 250 | 500 | Data not available | 100 | 2500 |
| 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 | Yes |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Unit of measure 25/Pack
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Unit of measure 100/Pack
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Unit of measure 50/Pack
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Price is $45.79
Unit of measure 100/Pack
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Price is $37.99
Unit of measure 100/Pack
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Price is $32.09
Unit of measure 100/Pack
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Price is $25.29
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Price is $32.09
Unit of measure 100/Pack
Delivery by Fri, Jul 18
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Price is $32.09
Unit of measure 100/Pack
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