ComplyRight™ CMS-1500 Health Insurance Claim Form (02/12); 100 Sheets
Item #:
901-CMS12650657
Model #:
650657
Brand:
ComplyRight
(10 reviews)
Item #:
901-CMS12650657
Out of stock
$6.49
Per pack
1 PAD = 1 PACK
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Details
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Product details
Reviews
Brand
Form Size
Length in Inches
Medical Form Pack Size
Width in Inches
Acid Free
Binding Position
Color Family
Depth in Inches
Hole Punched
HR Form Pack Size
HR Form Type
Medical Form Type
Notepad Binding
Notepad Cover Material
Notepad Type
Number of Pads
Number of Sheets
Number Sheets Per Pad
Pack Qty
Perforation
Print Type
Quick Ship
Rule Type
Series or Collection
Sheet Dimension
True Color
ComplyRight
8 1/2" x 11"
11
100
8.5
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Health Insurance Claims
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Inkjet/Laser
N/A
N/A
Cms-1500
N/A
N/A
Adams
N/A
N/A
N/A
N/A
Non Acid Free
Side
Multicolor
0.63
No
N/A
N/A
N/A
Spiral
N/A
Message Pad
1
76 to 100
100
N/A
Perforated
N/A
Yes
Other
Adams Message Pad
Other
White/Canary
Rediform
N/A
N/A
N/A
N/A
N/A
Side
White
N/A
No
N/A
N/A
N/A
Spiral
Flexible printed board
Message Pad
1
76 to 100
100
N/A
Perforated
N/A
Yes
Other
N/A
3" x 5"
White/Blue
Rediform
N/A
N/A
N/A
N/A
N/A
Side
White
N/A
No
N/A
N/A
N/A
Spiral
Flexible printed board
Message Pad
1
76 to 100
100
N/A
N/A
N/A
Yes
Other
Detail
Other
White
Rediform
N/A
N/A
N/A
N/A
N/A
Side
White
N/A
No
N/A
N/A
N/A
Spiral
Flexible printed board
Message Pad
1
76 to 100
100
N/A
N/A
N/A
Yes
Other
Follow-up
8" x 11"
White
ComplyRight
8 1/2" x 11"
11
100
8.5
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Dental Claims
N/A
N/A
N/A
N/A
N/A
N/A
100
N/A
Laser
N/A
N/A
N/A
N/A
Black/White
Adams
N/A
N/A
N/A
8.5
N/A
N/A
N/A
N/A
N/A
50
Attendance Records
N/A
N/A
N/A
N/A
N/A
N/A
N/A
1
N/A
N/A
Yes
N/A
N/A
N/A
White
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Description
- Designed for filing Medicare part B claims as well as claims to commercial insurance companies
- Includes the newest NUCC revisions
- Printed in red, scannable, OCR ink
- Guaranteed to comply with all government standards for paper, ink and layout.
- 8-1/2" x 11"
- For laser or inkjet printers
- 100 sheets
Specifications
Brand
ComplyRight
Form Size
8 1/2" x 11"
Length in Inches
11
Medical Form Pack Size
100
Medical Form Type
Health Insurance Claims
Print Type
Inkjet/Laser
Series or Collection
Cms-1500
Width in Inches
8.5
Accessories