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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
$45.29
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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
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500/pack
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Only $9.89 Staples Smooth Paper Clips, 1000/pack. Add to cart.
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ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Price is $32.09
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Customers bought together
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 500 (CMS12LC500)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500) is Your Product
Price is $45.29
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Price for all 4
$124.26
    • Details

    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"

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    Specifications
    Specifications table
    Attribute nameAttribute value
    Medical Form Pack Size 500
    Length in Inches 11
    Number of Parts 1
    Acid Free
    		Acid Free
    Width in Inches
    		8.5
    Medical Form Type Health Insurance Claims
    Print Type Laser
    True Color
    		White/Red
    Pack Qty 500
    Reviews

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    Delivery Information
    Free delivery by Tue, May 13
    Delivery by Tue, May 06
    Delivery by Tue, May 13
    Free delivery by Tue, May 13
    Free delivery by Tue, May 06
    Free delivery by Tue, May 13
    Free delivery by Tue, May 06
    Delivery by Tue, May 06
    Pick up in 1 hour
    Free delivery by Tue, May 13
    Delivery by Tue, May 13
    Available in my store
    No
    No
    No
    No
    No
    No
    No
    Yes
    Yes
    No
    No
    Medical Form Pack Size
    500
    250
    250
    2500
    1000
    2500
    500
    100
    100
    500
    100
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Dental Claims
    Dental Claims
    True Color
    White / Red
    White
    White / Red
    White / Red
    White / Red
    White / Red
    White / Red
    White / Red
    White
    White
    White
    Length in Inches
    11
    11
    11
    11
    11
    Data not available
    11
    11
    11
    11
    11
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    Data not available
    8.5
    8.5
    9.5
    8.5
    8.5
    Number of Parts
    1
    Data not available
    1
    1
    1
    1
    1
    1
    Data not available
    1
    1
    Print Type
    Laser
    Laser
    Laser
    Laser
    Laser
    Laser
    Laser
    Data not available
    Data not available
    Laser
    Laser
    Pack Qty
    500
    Data not available
    250
    2500
    1000
    250
    1
    100
    100
    Data not available
    Data not available
    Acid Free
    Acid Free
    Data not available
    Acid Free
    Acid Free
    Acid Free
    Data not available
    Data not available
    Data not available
    Data not available
    Acid Free
    Acid Free
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart
    Add To Cart

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