ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
                
            
                         $49.99 
                    
                        Per  pack
                                  ($0.10/EACH)  
                ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
        Item #:
        901-CMS12LC500
    
        
            Model #:
            CMS12LC500
        
            
            Brand:
            TFP
        
                
                    
                                (34 reviews)
                    
                    
                
                
                
    
                    Item #:
                    901-CMS12LC500
                
            
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                         $49.99 
                    
                        Per  pack
                                  $0.10/EACH  
                
                            1 PACK = 500 EACH
                                
                        
                
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                                    ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
                                
                                
Frequently bought together
+
                +
                Item #: 901-24614845
                                            
                         $41.99 
                    
                        Per  each
                                    $41.99
                    Total
                    $165.97
                
                
            Description
        
                    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"
 
Specifications
        
                    Acid Free
                
                
                    Acid Free
                
                
                    Brand
                
                
                    TFP
                
                
                    Length in Inches
                
                
                    11
                
                
                    Made in America
                
                
                    Yes
                
                
                    Medical Form Pack Size
                
                
                    500
                
                
                    Medical Form Type
                
                
                    Health Insurance Claims
                
                
                    Number of Parts
                
                
                    1
                
                
                    Pack Qty
                
                
                    500
                
                
                    Print Type
                
                
                    Laser
                
                
                    True Color
                
                
                    White/Red
                
                
                    Width in Inches
                
                
                    8.5
                
    
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