ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
$48.09
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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 500 (CMS12LC500)
Item #: 125556Model #: CMS12LC500
$48.09
500/pack
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
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Price is $17.99, Regular price was $19.99, You save 10%
Unit of measure 6/Pack Price per unit $3.00/Pad
Next-Day Delivery by Mon, Jul 13
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Price is $15.69
Unit of measure 140/Pack
Delivery by Mon, Jul 20
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Price is $24.99, Regular price was $29.99, You save 16%
Unit of measure 24/Pack Price per unit $1.04/Pad
Next-Day Delivery by Mon, Jul 13
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Price is $14.29
Unit of measure 140/Pack
Delivery by Mon, Jul 20
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Price is $24.79
Unit of measure 400/Box Price per unit $0.06/Box
Next-Day Delivery by Mon, Jul 13
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Compare similar items
| 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", Pack of 250 (CMS12LC250) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) | TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) | ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) |
|---|---|---|---|---|---|
Your product ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) Price is $48.09 |  Price is $27.69 |  Price is $85.89 |  Price is $34.59 |  Price is $34.09 | |
| Reviews | |||||
| Delivery Information | Free delivery by Fri, Jul 17 | Delivery by Fri, Jul 17 | Free Next-Day eligible by Mon, Jul 13 | Next-Day Delivery by Mon, Jul 13 | Next-Day Delivery by Mon, Jul 13 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 500 | 250 | 1000 | 250 | 250 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Consent | Health Insurance Claims |
| True Color | White / Red | White / Red | White / Red | Red and White | White |
| 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 | Continuous | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | Data not available |
| Pack Qty | 500 | 250 | 1000 | 1 | Data not available |
| Acid Free | Acid Free | Acid Free | Acid Free | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
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Price is $49.59
Unit of measure 250/Box
Free delivery by Thu, Jul 16
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Price is $81.69
Unit of measure 500/Box
Free delivery by Thu, Jul 16
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Price is $19.89
Delivery by Wed, Jul 15
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Price is $18.99
Unit of measure 25/Pack
Delivery by Thu, Jul 16
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Price is $65.39
Unit of measure 500/Ream
Free delivery by Thu, Jul 16
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