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.
Favorite list
Alternative Items



Shop Laser CMS-1500 (HCFA) Claims Form

   (5 Products)
All filters 5 items found
30% off
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)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 1,000 (CMS12LC1)
Item #: 901-CMS12LC1
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
$67.99 Save 30%
$46.99
Per carton
36% off
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Box of 2,500 (CMS12LC)ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Box of 2,500 (CMS12LC)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Box of 2,500 (CMS12LC)
Item #: 901-125557
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
$111.99 Save 36%
$71.39
Per pack
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2 x 11, Pack of 500 (CMS12LC500)
ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 500 (CMS12LC500)
Item #: 901-CMS12LC500
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
$35.99
Per pack
47% off
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
Item #: 901-CMS12LC250
Approved by the National Uniform Claim Committee (NUCC); HIPAA compliant
This form was revised to align the paper form with some of the changes in the electronic healthcare claims: Professional (837), 005010X222 Technical Report Type 3 (5010) and 005010X222A1 Technical Report Type 3 (5010A1)
The most significant change was the addition of 8 diagnosis codes in field 21
$39.99 Save 47%
$20.99
Per box
ComplyRight 1-Part Continuous CMS-1500 Health Insurance Claim Form (02/12), 2,500/Pack (CMS121)ComplyRight 1-Part Continuous CMS-1500 Health Insurance Claim Form (02/12), 2,500/Pack (CMS121)
Want to know more about Shop Laser CMS-1500 (HCFA) Claims Form

Are the forms compliant with current CMS (Centers for Medicare & Medicaid Services) regulations?

Healthcare providers must use medical insurance forms that comply with all established rules and regulations to get reimbursed by Medicare or Medicaid for services rendered to patients. The HCFA CMS-1500 laser health insurance claim form is a laser-cut sheet printed in red ink that is National Uniform Claim Committee (NUCC) and HIPAA compliant. The forms also include a QR code identifier at the top of the form that supports and aligns with industry scanning systems.

What type of paper are the forms printed on? Is it suitable for all types of printers?

The HCFA CMS-1500 health insurance claim forms you can buy from Quill are printed on 8.5” by 11” paper that is compatible with laser printers. We offer other health forms as well such as CMS-1450 and dental health forms.

Are the forms compatible with specific software or systems commonly used in healthcare practices?

The forms are suitable for use by all medical facilities and made to be compatible with industry scanning systems. Quill offers other standardized health forms as well.

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?

Subtotal: ( items / rewards):
Rewards balance:
Loading your cart
Quick view
Shared Cart Details
Please review this product
Upgrade to Rewards+
$99.99/year
Member benefits
Free shipping-no minimum
As a member, you never have to worry about hitting an order minimum
View policy

5% off everyday low prices
Sales not included

Plus, save an additional 5% off our best 10-ream paper price

Earn 10% more points for every $1 spent

Exclusive Rewards+ offers

Site-wide price match
View policy

Receive 30 extra days to use your points

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