ComplyRight
Buy ComplyRight CMS-1500 Health Insurance Claim Forms on Quill.com. Ensure your insurance claims are up-to-date with 250 forms/box.
Gallery
Attributes
Distributor offers
| Seller | SKU | MOQ | In stock | Multiple | Prices |
|---|---|---|---|---|---|
| 901-CMS12LC250 | 1 | -2 | 1 | ||
 Zoro | G400001758 | 1 | 1 | 1 @ $10.76 | |
 simsupply.com | USS-TFP953639 | 1 | 1 | 1 @ $4.86 | |
| TFPCMS12LC250 | 1 | 1 | |||
 simsupply.com | USS-TFPCMS12LC250 | 1 | 25 | 1 | 1 @ $17.97 |
| TFPCMS12LC250 | 1 | -2 | 1 | 1 @ $17.04 |
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ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 250-Count (CMS12LC250)
Brand: ComplyRight
Details
- Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims
- Forms adhere to strict printing standards that govern the layout, paper and ink
- 20-Lb paper with OCR "dropout" red ink for greater scanning accuracy
- SFI certified - certified to meet SFI standards
Listing
| Binding | Office Product |
|---|---|
| Product group | Office Product |
| Product type | OFFICE_PRODUCTS |
| Model | CMS12LC250 |
| Part number | CMS12LC250 |
| Items per pack | 1 |
| Label | ComplyRight |
| Manufacturer | ComplyRight |
Catalog
| Feature | "Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims" |
|---|---|
| Category | Office Products |
| MPN | CMS12LC250 |
| Product group | Office Product |
| Product type | OFFICE_PRODUCTS |
| Manufacturer | ComplyRight |
ComplyRight CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total
Brand: ComplyRight
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.