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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)
$94.49
Per carton
(
$0.09/EACH
)

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

See pricing info, deals and product reviews for ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) at Quill. Order online today and get next-day delivery on most orders.
Item #: 901-CMS12LC1
Model #: CMS12LC1
Brand: TFP
4.8 (88 reviews)
Item #: 901-CMS12LC1
Reviews summary
Product details 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

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$94.49
Per carton
(
$0.09/EACH
)
1 CARTON = 1000 EACH
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Delivery to

Free delivery
Tue, Nov 10 - Wed, Nov 11
$94.49
Per carton
(
$0.09/EACH
)
Delivery to

Free delivery
Tue, Nov 10 - Wed, Nov 11

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Delivery to
Delivery by 11/11/26 to
60069

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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"
Acid Free
Acid free
Brand
TFP
Delivery
1-2 day, Next day
Length in Inches
11
Medical Form Pack Size
1000
Medical Form Type
Health Insurance Claims
Number of Parts
1
Pack Qty
1000
Print Type
Laser
True Color
White/Red
Width in Inches
8.5
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