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ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
$80.99
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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

ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)

Item #: 116719Model #: CMS12LC1
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Only $9.89 Staples Smooth Paper Clips, 1000/pack. Add to cart.
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Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V)~#|#~sp38165292_sc7
Price is $23.89
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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", Box of 1,000 (CMS12LC1)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) is Your Product
Price is $80.99
Pendaflex File Folder, 1/3-Cut Tab, Assorted, Letter Size, Orange, 100/Box (R152 1/3 ORA)~#|#~s0867863_sc7Pendaflex File Folder, 1/3-Cut Tab, Assorted, Letter Size, Orange, 100/Box (R152 1/3 ORA)~#|#~m000053409_sc7
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Price for all 4
$150.16
    • 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
    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
    Next Day Delivery Yes
    Pack Qty 1000
    Medical Form Pack Size 1000
    Reviews

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    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
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    TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC)~#|#~s1172744_sc7
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    TOPS CMS-1500 Health Insurance Claims, 500/Pack (TOP 50126RV)~#|#~43D41C18-579A-4B95-856C2FF6A9BDA1E7_sc7
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    ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)~#|#~8C5CF2B1-C564-4834-B70E58035F19DEAC_sc7
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    ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411)~#|#~4A9BEC59-372C-4BA2-98230C384214A03F_sc7
    Price is $62.99
    Reviews
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    Delivery Information
    Free delivery by Mon, May 05
    Delivery by Mon, May 05
    Delivery by Mon, May 05
    Free delivery by Mon, May 12
    Free delivery by Mon, May 12
    Delivery by Mon, May 12
    Free delivery by Mon, May 12
    Free delivery by Mon, May 05
    Pick up in 1 hour
    Free delivery by Mon, May 12
    Free delivery by Mon, May 12
    Available in my store
    No
    Yes
    No
    No
    No
    No
    No
    No
    Yes
    No
    No
    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 / Red
    White
    White / Red
    White / Red
    White / Red
    White / Red
    White / Red
    White
    White
    White
    Medical Form Pack Size
    1000
    100
    250
    2500
    500
    250
    2500
    500
    100
    500
    1000
    Length in Inches
    11
    11
    11
    11
    11
    11
    Data not available
    11
    11
    11
    11
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    Data not available
    8.5
    9.5
    8.5
    8.5
    Number of Parts
    1
    1
    Data not available
    1
    1
    1
    1
    1
    Data not available
    1
    1
    Print Type
    Laser
    Data not available
    Laser
    Laser
    Laser
    Laser
    Laser
    Laser
    Data not available
    Laser
    Laser
    Pack Qty
    1000
    100
    Data not available
    2500
    500
    250
    250
    1
    100
    Data not available
    Data not available
    Acid Free
    Acid Free
    Data not available
    Data not available
    Acid Free
    Acid Free
    Acid Free
    Data not available
    Data not available
    Data not available
    Acid Free
    Acid Free
    Next Day Delivery
    Yes
    Yes
    Yes
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
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