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
Page 1 of 4
Price is $22.09
Unit of measure 2/Pack
Delivery by Mon, Jul 20
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Price is $14.99, Regular price was $16.39, You save 8%
Unit of measure 10/Pack Price per unit $1.50/Correction Tape
Delivery by Fri, Jul 17
30-min pickup
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Price is $14.99
Unit of measure 3/Pack Price per unit $0.62/Fl Oz
Delivery by Fri, Jul 17
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Price is $4.99, Regular price was $5.99, You save 16%
Unit of measure 6/Pack Price per unit $0.83/Pad
Delivery by Fri, Jul 17
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Price is $12.69
Unit of measure 100/Roll
Delivery by Fri, Jul 17
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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) | ComplyRight CMS-1500 Jumbo Health Care Billing Envelope, 500/Pack (1500LR500) | 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 $27.69 |  Price is $85.89 |  Price is $146.69 |  Price is $34.59 | |
| Reviews | |||||
| Delivery Information | Free delivery by Thu, Jul 23 | Delivery by Thu, Jul 23 | Free delivery by Fri, Jul 17 | Free delivery by Thu, Jul 23 | Delivery by Fri, Jul 17 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 500 | 250 | 1000 | 500 | 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 / Blue | Red and White |
| Length in Inches | 11 | 11 | 11 | Data not available | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | Data not available | 8.5 |
| Print Type | Laser | Laser | Laser | Data not available | Continuous |
| Number of Parts | 1 | 1 | 1 | Data not available | 1 |
| Pack Qty | 500 | 250 | 1000 | 1 | 1 |
| 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
Page 1 of 3
Price is $49.59
Unit of measure 250/Box
Free delivery by Wed, Jul 22
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Price is $81.69
Unit of measure 500/Box
Free delivery by Wed, Jul 22
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Price is $45.79
Unit of measure 50/Pack
Free delivery by Wed, Jul 22
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Price is $32.09
Unit of measure 50/Pack
Delivery by Wed, Jul 22
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Price is $96.39
Unit of measure 250/Pack
Free delivery by Wed, Jul 22
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