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 $9.19
Unit of measure 12/Pack Price per unit $0.32/100 sheets
Delivery by Tue, Mar 31
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Price is $102.49
Free delivery by Wed, Apr 08
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Price is $69.29
Unit of measure 50/Pack
Free delivery by Wed, Apr 08
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Price is $8.39
Unit of measure 300/Roll
Delivery by Thu, Apr 02
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Price is $18.09
Unit of measure 18/Pack Price per unit $1.00/Pad
Delivery by Tue, Mar 31
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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 Claims, 2500/Pack (CMS12LC) | 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 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 $91.89 |  Price is $85.89 |  Price is $51.89 |  Price is $34.09 | |
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Apr 06 | Free delivery by Mon, Apr 06 | Free delivery by Tue, Mar 31 | Free delivery by Tue, Mar 31 | Delivery by Tue, Mar 31 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 2500 | 2500 | 1000 | 500 | 250 |
| 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 / Red | White / Red | 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 | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | Data not available |
| Pack Qty | 2500 | 2500 | 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 |
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Price is $39.99, Regular price was $81.99, You save 51%
Unit of measure 5000/Carton
Free delivery by Tue, Mar 31
30-min pickup
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Price is $81.69
Unit of measure 500/Box
Free delivery by Fri, Apr 03
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Price is $26.49
Unit of measure 50/Pack
Delivery by Fri, Apr 03
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Price is $17.69
Delivery by Wed, Apr 08
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Price is $25.29
Unit of measure 50/Pack
Delivery by Fri, Apr 03
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