close popup
Skip to main content
Skip to footer
1¢ Doorbuster 6-pack of Quill Brand self-stick notes.
Free Shipping on Orders $25+

The NewQuill+

Become a member to receive free shipping—no minimum. Tell Me More

Close
Limited time offer

Free Shipping. No Minimum.

Code: FREESHIP

Offer good through 7/15/22.

  1. Paper
  2. >
  3. Forms
  4. >
  5. Forms
  6. >
  7. HR & Medical Forms
  8. >
  9. Dot-Matrix Health Insurance Forms

ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Box

Order ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Box today at Quill.com and get fast shipping. Stack coupons to get free gifts & extra discounts!
Item #: 901-CMS122
  Model #: CMS122
Brand: TFP
  • ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Box
ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12), 2-Part Continuous, White/Yellow, 1,000/Box
$77.99 Box
When you buy 10+
or
$83.99 Box
When you buy 1-9
This item ships FREE *
Add to Cart
Add to My List
Buy more & save!
Qty 1-9 10+
Price $83.99 $77.99
Qty. Savings 7%
Enter Zip Code
Estimated Delivery Date:
Parcel
Customers Also Viewed
Description
Specifications
Reviews
Accessories
Description
TFP Cms-1500 health insurance claim form is printed on white/canary paper, sold as 1000 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 1000 per case.
  • 8 1/2" x 11"
  • 20 lb.
  • White
  • Printed with OCR "dropout" red ink per government regulations
  • Pin fed
  • 1,000 per case
  • Carbonless
  • NPI Compliance Guaranteed
Specifications
Brand : TFP Customizable : No HR Form Pack Size : 1000 HR Form Type : Cms-1500
Number of Parts : 2 Pack Qty : 1 True Color : White Width in Inches : 8.5
Weight : 0.01 lbs. per Box
NewsWeek website
loadingLoading...