# ComplyRight

**Manufacturer:** ComplyRight  
**MPN:** `CMS12LC500`

The ComplyRight CMS 1500 Healthcare Billing Form is a laser-printed document designed for healthcare billing. It features a 02/12 version and is packaged in a 500-count quantity.

## Specifications

| Attribute | Value |
| --- | --- |
| Brand name | ComplyRight |
| Manufacturer name | ComplyRight |
| Manufacturer | ComplyRight |
| Extra Product Name | ComplyRight |
| moq | 1 |
| MPN | CMS12LC500 |
| multiple | 1 |
| qtyInStock | -2 |
| qtySource | Default field |
| SKU | 901-953631 |
| tierMinQty1 | 1 |
| tierPrice1 | 24.99 |
| Part Number | CMS12LC500 |
| Model | CMS12LC500 |
| Product Group | Office Product |
| Brand | ComplyRight |
| Customizable | No |
| Height in Inches | 11 |
| HR Form Pack Size | 500 |
| HR Form Type | Health Insurance Claims |
| Pack Qty | 500 |
| Series or Collection | CMS-1500 |
| True Color | White |
| Width in Inches | 8.5 |
| ASIN | B01E37YYC0, B01MSSILT0 |
| AdultProduct | False |
| Amount | 24.99 |
| Asin | B01E37YYC0 |
| Autographed | False |
| Batteries_included | False |
| Batteries_required | False |
| Binding | Office Product |
| Bullet_point | 20-Lb paper with OCR "dropout" red ink for greater scanning accuracy, Forms adhere to strict printing standards that govern the layout, paper and ink, Required for healthcare providers to bill a patie |
| Case | 500 |
| Cat | Office Products |
| CatId | 1064954 |
| CatTree | 1064954, 1069242, 1069376, 1084128, 490833011 |
| ClassificationId | 1069680 |
| Color | Red & White |
| CurrencyCode | USD |
| Customer_package_type | Standard Packaging |
| DisplayName | Insurance Claim Forms |
| Feature | "Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims" |
| Height | 1000, 2, 2.0, 2.199999997756000393700787, 2.1999999977560005, 28.447999999999997, 500, 75 |
| Identifier | 50015171275879 |
| IdentifierType | GTIN |
| ItemClassification | BASE_PRODUCT |
| ItemName | ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 500-Count (CMS12LC500) |
| Item_name | ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 500-Count (CMS12LC500) |
| Item_package_quantity | 500 |
| Item_package_weight | 2.177243376 |
| Item_type_keyword | business-claim-forms |
| Label | ComplyRight |
| Length | 11, 11.0, 11.199999988575998, 11.199999988575998818897639, 5.588000000000001 |
| Link | https://m.media-amazon.com/images/I/515PlsVZoPL._SL75_.jpg, https://m.media-amazon.com/images/I/515PlsVZoPL.jpg, https://m.media-amazon.com/images/I/51tLrISaH4L._SL75_.jpg, https://m.media-amazon.com/ |
| Man | ComplyRight |
| Material | Paper |
| MaterialType | Paper |
| Memorabilia | False |
| ModelNumber | CMS12LC500 |

## Distributor availability

| Distributor | SKU | Price (USD) | Qty | Stock | MOQ |
| --- | --- | --- | --- | --- | --- |
| quill.com | 901-953631 | 24.99 | 1 | None | 1 |

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Structured data: `/python/html6/product/500/250000000/250191000/part_--CMS12LC500---ComplyRight--a635c4e1e5.json`  
Search API: https://www.dataalchemy.com/api/  
MCP server: https://www.dataalchemy.com/mcp