ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
$46.89
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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 500 (CMS12LC500)
Item #: 125556Model #: CMS12LC500
$46.89
500/pack
Free Returns
Online. In store. Always free.
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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
Price is $86.59
Unit of measure 100/Box
Free Next-Day eligible by tomorrow
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Over 30
Price is $40.49
Unit of measure 100/Box Price per unit $0.40/File Folder
Free Next-Day eligible by tomorrow
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Over 30
Price is $8.69
Unit of measure 24/Pack Price per unit $0.36/File Folder
Next-Day Delivery by tomorrow
1-hr pickup
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Over 30
Price is $9.89
Unit of measure 10/Pack Price per unit $0.99/Folder
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1-hr pickup
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Over 30
Price is $22.39
Unit of measure 100/Box Price per unit $0.22/Fastener
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Over 30
Price is $11.89
Price per unit $0.02/Post-it® Note
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Over 30
Price is $19.99
Unit of measure 25/Box Price per unit $0.80/Folder
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Over 30
Price is $7.09
Unit of measure 100/Box Price per unit $0.07/Paper Clip
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Over 30
Price is $19.99
Unit of measure 25/Box Price per unit $0.80/Folder
Next-Day Delivery by tomorrow
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Over 30
Price is $14.09
Unit of measure 10/Pack Price per unit $1.41/Folder
Next-Day Delivery by tomorrow
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Over 30
Price is $6.99, Regular price was $7.59, You save 7%
Unit of measure 3/Pack Price per unit $2.33/Pen
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Over 30
Price is $21.99
Unit of measure 6/Pack Price per unit $3.66/Roll
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Over 30
Price is $18.99, Regular price was $24.59, You save 22%
Unit of measure 36/Box Price per unit $0.53/Highlighter
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Over 30
Price is $16.19
Unit of measure 5/Pack Price per unit $0.03/Post-it® Note
Next-Day Delivery by tomorrow
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Over 30
Price is $19.99, Regular price was $24.69, You save 19%
Unit of measure Dozen Price per unit $1.67/Pad
Next-Day Delivery by tomorrow
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Over 30
Price is $6.99, Regular price was $11.99, You save 41%
Price per unit $0.02/Post-it® Note
Next-Day Delivery by tomorrow
1-hr pickup
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Over 30
Price is $6.99, Regular price was $8.99, You save 22%
Unit of measure Dozen
Next-Day Delivery by tomorrow
1-hr pickup
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Over 30
Price is $10.99, Regular price was $11.29, You save 2%
Unit of measure 24/Pack Price per unit $0.46/Pen
Next-Day Delivery by tomorrow
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Over 30
Price is $27.99, Regular price was $31.69, You save 11%
Unit of measure 250/Box Price per unit $0.11/File Folder
Next-Day Delivery by tomorrow
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Over 30
Price is $0.50, Regular price was $3.09, You save 83%
Unit of measure 8/Pack Price per unit $0.06/Pencil
Next-Day Delivery by tomorrow
1-hr pickup
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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", 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 ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) Price is $46.89 |  Price is $83.79 |  Price is $33.19 |  Price is $26.29 |  Price is $50.59 | |
| Reviews | |||||
| 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 |
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Price is $17.39
Unit of measure 50/Pack
Delivery by Tue, Jul 22
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Price is $26.49
Unit of measure 50/Pack
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Price is $16.79
Unit of measure 100/Pack
Delivery by Tue, Jul 22
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Price is $16.79
Unit of measure 50/Pack
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Price is $46.99, Regular price was $79.99, You save 41%
Unit of measure 5000/Carton
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Price is $45.79
Unit of measure 50/Pack
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Over 30
Price is $32.09
Unit of measure 100/Pack
Delivery by Tue, Jul 22
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Price is $20.79
Unit of measure 50/Pack
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Price is $21.95
Delivery by Fri, Jul 25
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Price is $32.09
Unit of measure 50/Pack
Delivery by Tue, Jul 22
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Price is $26.49
Unit of measure 50/Pack
Delivery by Tue, Jul 22
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Over 30
Price is $21.19
Unit of measure 50/Pack
Delivery by Tue, Jul 22
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Price is $38.89
Unit of measure 50/Pack
Free delivery by Tue, Jul 22
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Price is $32.09
Unit of measure 100/Pack
Delivery by Tue, Jul 22
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Price is $34.49
Unit of measure 50/Pack
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