Loading...
Skip to main content Skip to footer
Shared cart
Track an order
Reward not redeemed
You dont have enough points to redeem this reward.
Favorite list
Alternative Items
  1. Paper
  2. Forms & Recordkeeping
  3. Forms & Recordkeeping
  4. HR Forms
  5. HCFA CMS-1500 Laser Health Insurance Forms
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 500/Box
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 500/Box
$67.99
Per pack

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 500/Box

Order ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 500/Box today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-CMS12LC500
Model #: CMS12LC500
Brand: TFP
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); Laser-Cut Sheet, 500/Box
Loading...
$67.99
Per pack
Ship to :
60069
In stock
Estimated delivery by: Tue 2/14/2023 - Wed 2/15/2023
Free shipping

Request quote
Please review this product
TFP Cms-1500 health insurance claim form is laser cut and printed on white paper, sold as 500 per case. TFP Cms-1500 Health insurance claim form is printed with OCR dropout red ink over #20 white paper. Form measures 8.5" x 11", sold as 500 per case.
  • Letter, 8 1/2" x 11"
  • Paper weight: 20 lb
  • White
  • CMS-1500 (Rev. 02/12) form
  • 500 per pack
  • Laser single format
  • The new form will start to transition on January 6, 2014. From January 6 until March 31, providers can use either the current form or the revised form. On April 1, 2014 the current form is discontinued, and only the new version 02/12 will be accepted
  • For use by all medical facilities/entities billing insurance companies, Medicaid and Medicare
  • The newly revised forms are fully compliant and rejection proof, so healthcare providers get paid quicker
  • Printed with OCR "dropout" red ink on 20# paper as per government specifications
  • NPI Compliance Guaranteed
Brand
TFP
Customizable
No
HR Form Pack Size
500
HR Form Type
Cms-1500
Number of Parts
2
Pack Qty
1
True Color
White
Width in Inches
8.5

Quill help center

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

Call us 1-800-982-3400
Subtotal: ( items / rewards):
Rewards balance:
Loading your cart
Quick view
Shared Cart Details