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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
$46.89
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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 500 (CMS12LC500)

Item #: 125556Model #: CMS12LC500
$46.89
500/pack
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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250)
Price is $26.29
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Customers bought together
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) is Your Product
Price is $46.89
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Price for all 4
$106.96
  • 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"

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    Product specifications table
    Attributes ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)
    Your product
    Price is $46.89
    Reviews
    4.7
    31
    4.9
    42
    4.8
    19
    4.6
    25
    4.9
    12
    Delivery Information
    Free delivery by Thu, Jul 24
    Free Next-Day eligible by tomorrow
    Next-Day Delivery by tomorrow
    Delivery by Thu, Jul 24
    Free Next-Day eligible by tomorrow
    Available in my store
    No
    No
    No
    No
    No
    Medical Form Pack Size
    500
    1000
    250
    250
    500
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    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
    Laser
    Number of Parts
    1
    1
    Data not available
    1
    1
    Acid Free
    Acid Free
    Acid Free
    Data not available
    Acid Free
    Data not available
    Pack Qty
    500
    1000
    Data not available
    250
    1
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart