ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2″ x 11″, Box of 1,000 (CMS12LC1)
Original price was: $79.00.$54.99Current price is: $54.99.
Ensure all the necessary information for insurance claims is submitted by using these health insurance claim forms. The preprinted format allows for easy data entry, and the laser-cut sheets work with a wide range of printers for clear, precise printouts. These ComplyRight claim forms feature red OCR dropout ink to meet government regulations, ensuring better compliance and efficient document completion.
- 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
- Form features detailed information to help expedite payment for claims
- Form not available personalized
- Satisfy record-keeping requirements with these health insurance claim forms
- For use by all medical facilities
- Developed in conjunction with all the governing agencies
- 02/12 Version
- 8-1/2″ x 11″
| Attribute name | Attribute value |
|---|---|
| Length in Inches | 1 |
| Acid Free The overall width of the product, measured left to right. | 8.5 |
| Medical Form Type | Laser |
| True Color | Yes |
| Pack Qty | 1000 |
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