Loading...
Skip to main content Skip to footer
Track an order
Shared cart
Reward not redeemed
You dont have enough points to redeem this reward.
Shopping list
Alternative Items
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)
$80.59 Save 50%
$39.53
Per carton

  1. Home
  2. Paper
  3. Forms & Recordkeeping
  4. Forms & Recordkeeping
  5. HR Forms
  6. Laser CMS-1500 (HCFA) Claims Form

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

Order ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1) today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 550-CMS12LC1
Model #: CMS12LC1
Brand: TFP
(81 reviews)
Item #: 550-CMS12LC1
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Box of 1,000 (CMS12LC1)
Loading...
Price drop
$80.59 Save 50%
$39.53
Per carton
1 CARTON = 1000 EACH

Want an extra discount today, and every day? Start saving now.

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


Ship to: 60069
Free delivery
Tomorrow, Jun 3
Order within the next 5 hr and 16 min to be eligible to get this item tomorrow

Request bulk pricing
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
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
Shipping
2-day, Next day
True Color
White/Red
Width in Inches
8.5

Helping your business win

Get supplies, get rewards

Earn one point for every dollar spent, with so many ways to use them.

Your order has arrived

Fast, free shipping on orders $25 or more. Returns are easy, too.

Savings on savings on savings

Stack promotions, coupons, & rewards, stretching your dollars.

We love phone calls

Our award-winning customer service is here to help anytime.
Just call 1-800-982-34001-800-982-3400

Quill help center

Call us 1-800-982-3400

New to Quill? Would you like to learn more about how we can help your business?

You will be redirected to travel.quill.com in a new tab. Hit Okay to continue.
Okay
Subtotal: ( items / rewards):
Rewards balance:
Loading your cart
Quick view
Shared Cart Details
Please review this product
Upgrade to Rewards+
$49.99/year
Member benefits
$41.99 Quill 10-Ream Copy Paper
Up to 5 cartons per order, limit 10 cartons per month

10% in QUILLCASH Rewards on ink & toner
View policy

$15 off monthly coupon (with 100 points)

Always free shipping
View policy

Earn 10% more points + more time to use

5% off everday prices

10% off discount on in-house brands

Member exclusive rewards

Site-wide price match guarantee
View policy

Disclaimer
Offers and discounts exclude HP,Samsung and Epson. We offer a worry-free enrollment guarantee - if you are not satisfied with your Rewards+ membership, you can cancel at any time for a prorated refund. By enrolling into the Reward+ program, you are agreeing to the Terms and Conditions.

See full membership details