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ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)

$37.57

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ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)
As Low As $36.82
ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)
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Product Details

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$37.57 $76.95 Case of 1000 ($0.04/Each)

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Estimated Delivery Date: 06/06/2026

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Desired Quantity (Minimum Bulk Quantity Quote: 134)
Additional shipping charges may apply to quotes that exceed standard weight and dimensions.
In Stock
SKU: TFPCMS12LC1
Bulk Discounts
Bulk
Discounts
1-2 Day Shipping
1-2 Day
Shipping
Easy Returns
Easy
Returns
Made in USA
Made
in USA
AutoShip Eligible
AutoShip
Eligible
Google Trusted Store
Google
Trusted
Secure Checkout
Secure
Checkout
Satisfaction Guaranteed
Satisfaction
Guaranteed

Product Details

  • Meet billing requirements for Medicare Part B.

  • Easy-to-read forms for faster claims processing.

  • Comply with CMS standards and requirements for paper, layout and ink.

  • Printed in scannable, dropout OCR red ink.

  • Include all 02/12 NUCC revisions, replacing the previous 08/05 version.

Product Description

Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Product Specs

Manufacturer

MPN

TFPCMS12LC1

Model#

CMS12LC1

Alternate Product Number

116719

UPC Code

813859024444

UNSPSC Code

0

Assembly Required

No assembly is required

Contains Recycled Materials

N

Green Product

N

Unit of Measure

Carton

Item Weight

10.986

Ships via UPS

Y

Carton Pack Quantity

1000 Each

This item is sold by the

Carton which contains 1000 Each

GTIN Item

813859024444

UPC Retail

813859024444

Brand

ComplyRight

Manufacturer Stock No.

CMS12LC1

Country of Origin

US

UNSPSC Number

14111806

Q & A (10)

Questions & Answers

Q: Are these forms updated to the latest CMS-1500 requirement?

1 Answers

Are these forms updated to the latest CMS-1500 requirement?
09-28-2024

A: Yes, they are updated to the latest requirements.

09-29-2024

Q: How many forms are included in a carton?

1 Answers

How many forms are included in a carton?
07-20-2024

A: There are 1,000 forms in total.

07-21-2024

Q: Is this a one-part form?

1 Answers

Is this a one-part form?
06-19-2024

A: Yes, this is a one-part form.

06-20-2024

Q: Are the forms compatible with major billing software?

1 Answers

Are the forms compatible with major billing software?
05-14-2024

A: Yes, they are compliant with major billing software.

05-15-2024

Q: Can these forms be used for laser printers?

1 Answers

Can these forms be used for laser printers?
04-05-2024

A: Yes, these forms are laser printer compatible.

04-06-2024
Showing 1 to 5 of 10 (2 Pages)

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