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ComplyRight - CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC) - White/Red

Model: CMS12LC
SKU: 13140190

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About this product

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.

Features

  • Forms

    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

Specifications

  • Brand
    ComplyRight
    Model Number
    CMS12LC
    Product Name
    ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)
    Color
    White/Red
    Number Of Forms Included
    1000
    Product Width
    8.5 inches
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ComplyRight - CMS-1500 Health Insurance Claim Form, 250/Box - White

Use these easy-to-read insurance claim forms for a faster claims process. Printed in scannable, dropout OCR red ink, these documents deliver crisp, clean text and comply with CMS standards and requirements for paper, layout and ink to expedite the receipt of payment for health care facilities. These ComplyRight CMS-1500 forms include 02/12 NUCC revisions and replace the previous 08/05 version.

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