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
500/pack
Free Returns
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Consider this similar product
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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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 Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) | ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) |
|---|---|---|---|---|---|
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 $26.29 |  Price is $33.19 |  Price is $89.59 | |
| Reviews | |||||
| Delivery Information | Free delivery by Wed, May 28 | Free Next-Day eligible by tomorrow | Delivery by Wed, May 28 | Next-Day Delivery by tomorrow | Free delivery by Wed, May 28 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 500 | 1000 | 250 | 250 | 2500 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Number of Parts | 1 | 1 | 1 | Data not available | 1 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Print Type | Laser | Laser | Laser | Laser | Laser |
| True Color | White / Red | White / Red | White / Red | White | White / Red |
| Pack Qty | 500 | 1000 | 250 | Data not available | 2500 |
| Acid Free | Acid Free | Acid Free | Acid Free | Data not available | Acid Free |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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Price is $21.95
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Unit of measure 50/Pack
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Unit of measure 100/Pack
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Unit of measure 50/Pack
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Price is $57.29
Unit of measure 50/Pack
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Price is $17.39
Unit of measure 50/Pack
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Price is $45.79
Unit of measure 50/Pack
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