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
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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
$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 $1.29, Regular price was $1.99, You save 35%
Unit of measure Dozen Price per unit $0.11/Pen
Next-Day Delivery by Mon, Jun 22
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Price is $56.35
Free Next-Day eligible by Mon, Jun 22
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Price is $14.29
Unit of measure 140/Pack
Delivery by Mon, Jun 29
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Price is $34.69
Unit of measure 40/Box
Delivery by Wed, Jul 08
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Price is $27.69
Unit of measure 280/Pack
Delivery by Mon, Jun 29
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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) | TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV) | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) | TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) |
|---|---|---|---|---|---|
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 $85.89 |  Price is $51.89 |  Price is $91.89 |  Price is $34.59 | |
| Reviews | |||||
| Delivery Information | Free delivery by Fri, Jun 26 | Free Next-Day eligible by Mon, Jun 22 | Free Next-Day eligible by Mon, Jun 22 | Free delivery by Fri, Jun 26 | Next-Day Delivery by Mon, Jun 22 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 500 | 1000 | 500 | 2500 | 250 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Consent |
| True Color | White / Red | White / Red | White / Red | White / Red | Red and White |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Print Type | Laser | Laser | Laser | Laser | Continuous |
| Pack Qty | 500 | 1000 | 1 | 2500 | 1 |
| Acid Free | Acid Free | Acid Free | Data not available | Acid Free | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Price is $49.59
Unit of measure 250/Box
Free delivery by Thu, Jun 25
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Unit of measure 500/Box
Free delivery by Thu, Jun 25
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Unit of measure 100/Pack
Free delivery by Thu, Jun 25
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Unit of measure 100/Pack
Delivery by Thu, Jun 25
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Unit of measure 50/Pack
Free delivery by Thu, Jun 25
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