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
View all details
- 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
Final price is $46.89
500/pack
Free Returns
Online. In store. Always free.
Learn More
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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 $17.09
Unit of measure 6/Pack Price per unit $2.85/Marker
Delivery by Fri, Jun 13
1-hr pickup
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Price is $20.49
Unit of measure Dozen Price per unit $1.71/Pen
Delivery by Fri, Jun 13
1-hr pickup
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Price is $21.89
Unit of measure 50/Box
Delivery by Fri, Jun 13
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Price is $21.09
Unit of measure 14/Pack Price per unit $0.02/Post-it® Note
Delivery by Tue, Jun 17
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Over 30
Price is $10.89
Unit of measure Dozen Price per unit $0.91/Marker
Delivery by Fri, Jun 13
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Price is $21.19
Unit of measure 25/Box Price per unit $0.85/Folder
Delivery by Fri, Jun 13
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Price is $7.49
Unit of measure 50/Pack Price per unit $0.15/Tab
Delivery by Fri, Jun 13
1-hr pickup
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Over 30
Price is $10.99, Regular price was $15.39, You save 28%
Unit of measure Dozen Price per unit $0.92/Pen
Delivery by Fri, Jun 13
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
Delivery by Fri, Jun 13
1-hr pickup
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Over 30
Price is $9.99
Unit of measure 1000/Pack Price per unit $0.01/Paper Clip
Delivery by Fri, Jun 13
1-hr pickup
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Over 30
Price is $20.49
Unit of measure Dozen Price per unit $1.71/Pen
Delivery by Fri, Jun 13
1-hr pickup
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Over 30
Price is $6.99, Regular price was $8.19, You save 14%
Unit of measure 4/Pack Price per unit $1.75/Correction Tape
Delivery by Fri, Jun 13
1-hr pickup
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Over 30
Price is $16.99, Regular price was $20.59, You save 17%
Unit of measure 100/Box Price per unit $0.17/File Folder
Delivery by Fri, Jun 13
1-hr pickup
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Over 30
Price is $10.59, Regular price was $12.69, You save 16%
Unit of measure Dozen Price per unit $0.88/Marker
Delivery by Fri, Jun 13
1-hr pickup
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Over 30
Price is $15.69
Unit of measure Dozen Price per unit $0.01/Post-it® Note
Delivery by Fri, Jun 13
1-hr pickup
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Price is $16.99, Regular price was $19.59, You save 13%
Unit of measure Dozen Price per unit $1.42/Pad
Delivery by Fri, Jun 13
1-hr pickup
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Price is $15.99, Regular price was $19.49, You save 17%
Unit of measure 10/Pack Price per unit $1.60/Correction Tape
Delivery by Fri, Jun 13
1-hr pickup
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Price is $6.99, Regular price was $8.69, You save 19%
Unit of measure 60/Pack Price per unit $0.12/Pen
Delivery by Fri, Jun 13
1-hr pickup
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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
Delivery by Fri, Jun 13
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Over 30
Price is $9.99, Regular price was $11.99, You save 16%
Unit of measure 12/Pack Price per unit $0.83/Pad
Delivery by Fri, Jun 13
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 Form, 250/Box (CMS12LC250) | 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 Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | Cosco Patient Confidential Sign-In Forms, 3-Part, 125 Forms/Pack (074041) |
|---|---|---|---|---|---|
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 $33.19 |  Price is $83.79 |  Price is $26.29 |  Price is $58.29 | |
| Reviews | |||||
| Delivery Information | Free delivery by Fri, Jun 20 | Delivery by Fri, Jun 13 | Free delivery by Fri, Jun 13 | Delivery by Fri, Jun 20 | Free delivery by Mon, Jun 23 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 500 | 250 | 1000 | 250 | 125 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Privacy Sign-In Sheets |
| Length in Inches | 11 | 11 | 11 | 11 | 11.625 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Print Type | Laser | Laser | Laser | Laser | Digital |
| True Color | White / Red | White | White / Red | White / Red | Data not available |
| Number of Parts | 1 | Data not available | 1 | 1 | 3 |
| Pack Qty | 500 | Data not available | 1000 | 250 | 125 |
| Acid Free | Acid Free | Data not available | Acid Free | Acid Free | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
Featured Products
Price is $20.19
Delivery by Mon, Jun 23
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Price is $26.49
Unit of measure 50/Pack
Delivery by Wed, Jun 18
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Price is $21.69
Delivery by Mon, Jun 23
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Price is $33.39
Unit of measure 50/Pack
Delivery by Wed, Jun 18
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Price is $15.69
Delivery by Mon, Jun 23
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Price is $21.19
Unit of measure 50/Pack
Delivery by Wed, Jun 18
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Price is $49.59
Unit of measure 250/Box
Free delivery by Wed, Jun 18
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Price is $33.29
Delivery by Mon, Jun 23
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Price is $45.79
Unit of measure 25/Pack
Free delivery by Wed, Jun 18
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Over 30
Price is $17.95
Delivery by Mon, Jun 23
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Price is $56.19
Free delivery by Mon, Jun 23
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Price is $33.89
Delivery by Mon, Jun 23
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Price is $45.79
Unit of measure 100/Pack
Free delivery by Wed, Jun 18
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Price is $17.39
Unit of measure 50/Pack
Delivery by Wed, Jun 18
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Price is $166.39
Free delivery by Mon, Jun 23
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