Customer Reviews for ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item # : 953639
Model # : CMS12LC250
Meet billing requirements for Medicare part B using these ComplyRight CMS-1500 health insurance claim forms.
- Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
- This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
Price is $34.09
Unit of measure 250/Pack
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Over 30
This item will be discontinued soon. A suggested replacement is available.
See what our experts suggest
49 reviews
Most helpful positive review
Posted May 29, 2024
QUICK DELIVERY TO MY HOME OFFICE
VS
Most helpful critical review
Posted Aug 25, 2025
Not so good
Pink rather than red. Minimal pre-populating.
C.B.
Verified Buyer
Reviewed at:
Quill
Posted Aug 25, 2025
Not so good
Pink rather than red. Minimal pre-populating.
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TERRY B.
Verified Buyer
Reviewed at:
Staples Business
Posted May 29, 2024
QUICK DELIVERY TO MY HOME OFFICE
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W.B.
Verified Buyer
Reviewed at:
Quill
Posted Nov 28, 2023
Order process was easy and received shipment quickly
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J.H.
Verified Buyer
Reviewed at:
Quill
Posted Mar 29, 2023
First Time ordering from Quill
Quill was easy to use affordable from researching other office supply sites and arrived very timely - only 4 days after ordering! From a previous batch of CMS 1500 (2-12) the red ink on these are a slight bit more light generating a "pink" ink rather than the red I've used before but Quill is something I'll continue to use with our business.
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B.F.
Verified Buyer
Reviewed at:
Quill
Posted Sep 20, 2022
This is a standard product but I was completely out and I ordered from Quill and got the product before noon the NEXT day! Very impressed
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S.M.
Verified Buyer
Reviewed at:
Quill
Posted Mar 2, 2022
1500 forms
wow they were the best forms I have ever used in my 38 years of practice and the shrink wrap that surrounded them in the box was absolutely amazing
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Dr. Dutcher
Verified Buyer
Reviewed at:
Quill
Posted Nov 29, 2021
HICFA form
Good form that works well with our system quick service delivery!
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C.V.
Verified Buyer
Reviewed at:
Quill
Posted Aug 22, 2021
proper forms to mail in CMS 1500 forms
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RONALD
Verified Buyer
Reviewed at:
Quill
Posted Jan 8, 2021
Fast delivery! Good service.
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Kevin
Verified Buyer
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Quill
Posted Jul 6, 2020
Good fast reliable service at a good price.
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TriCityChiropracticClinic
Verified Buyer
Reviewed at:
Quill
Posted Jul 5, 2020
They are ok. They seem to be a too light on the print. My previous forms from another company had darker print/better appearance.
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E.K.
Verified Buyer
Reviewed at:
Quill
Posted Jul 1, 2020
Fast delivery
I received my order within 24 hours. Great service! Thank you!
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YVONNE
Verified Buyer
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Quill
Posted Jun 30, 2020
Super fast delivery!
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cgcounselingcenter
Verified Buyer
Reviewed at:
Quill
Posted Aug 13, 2019
Very affordable prices on the CMS 1500 forms!
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P.R.
Verified Buyer
Reviewed at:
Quill
Posted Mar 28, 2019
Smooth writing
These are great pens.
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kfleigle
Verified Buyer
Reviewed at:
Quill
Posted Oct 2, 2018
review
Always prompt delivery with quality products.
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D.M.
Verified Buyer
Reviewed at:
Quill
Posted Sep 11, 2018
Quill's response was immediate!
Our new purchase of medical forms had print alignment problems. Quill got us a new batch the next day! They worked well. We were back in business. Thanks Quill!Don McLaughlin DDS
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CECILE S.
Verified Buyer
Reviewed at:
Quill
Posted Sep 9, 2018
excellent service and quality
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ANNA
Verified Buyer
Reviewed at:
Quill
Posted Aug 23, 2018
Fastest Delivery Ever!
Ordering was easy on line and was I ever surprised when I received the order within 2 days!
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TRISH
Verified Buyer
Reviewed at:
Quill
Posted Jul 17, 2018
The service was great and delivery was fast
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