Please ensure Javascript is enabled for purposes of website accessibility ComplyRight CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total (CMS12LC250) | OfficeCrave.com
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ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (CMS12LC250)

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (CMS12LC250)

$20.67

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ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (CMS12LC250)

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (CMS12LC250)ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (CMS12LC250)
As Low As $20.26
ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (CMS12LC250)
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1-2 Day
Shipping
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Product Details

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$20.67 $43.53 Pack of 250 ($0.08/Each)

Buy 110 or more for only $20.26/Pack with FREE SHIPPING

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Estimated Delivery Date: 06/06/2026

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Estimated Delivery Date: 06/06/2026

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Desired Quantity (Minimum Bulk Quantity Quote: 242)
Additional shipping charges may apply to quotes that exceed standard weight and dimensions.
In Stock
SKU: TFPCMS12LC250
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

TFPCMS12LC250

Model#

CMS12LC250

Alternate Product Number

953639

UPC Code

758399422254

UNSPSC Code

0

Assembly Required

No assembly is required

Contains Recycled Materials

N

Green Product

N

Unit of Measure

Pack

Item Weight

2.598

Ships via UPS

Y

Carton Pack Quantity

2 Pack

Pack Quantity

250 Each

This item is sold by the

Pack which contains 250 Each

GTIN Item

758399422254

UPC Retail

758399422254

Brand

ComplyRight

Manufacturer Stock No.

CMS12LC250

Country of Origin

US

UNSPSC Number

14111806

Q & A (10)

Questions & Answers

Q: Are these forms compliant with CMS regulations?

1 Answers

Are these forms compliant with CMS regulations?
09-11-2024

A: Yes, these forms are compliant with CMS regulations.

09-12-2024

Q: How many forms are in a pack?

1 Answers

How many forms are in a pack?
08-22-2024

A: There are 250 forms in each pack.

08-23-2024

Q: Can I order these forms in bulk?

1 Answers

Can I order these forms in bulk?
08-15-2024

A: Yes, bulk ordering options are available.

08-16-2024

Q: Is this a one-part form?

1 Answers

Is this a one-part form?
07-05-2024

A: Yes, this is a one-part form with no copies.

07-06-2024

Q: Are the forms pre-printed?

1 Answers

Are the forms pre-printed?
05-13-2024

A: Yes, these forms are pre-printed and ready to use.

05-14-2024
Showing 1 to 5 of 10 (2 Pages)

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