ComplyRight
The ComplyRight CMS 1500 Healthcare Billing Form is a required document for healthcare providers to bill patients' insurance companies for medical claims reimbursement. These forms adhere to strict printing standards, featuring 20-Lb paper with OCR "dropout" red ink for enhanced scanning accuracy. Certified to meet SFI standards, this product ensures compliance with industry regulations. The CMS12LC250 is available in a 250-count pack, ideal for healthcare providers with high billing needs.
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
| Brand name, Manufacturer name, Extra Product Name, Brand, Label, Man, Publisher, Studio | ComplyRight |
|---|---|
| Manufacturer | ComplyRight TFP DATA SYSTEMS |
| moq, multiple, NumberOfItems, Number_of_boxes, Number_of_items | 1 |
| MPN, Part Number, Model, ModelNumber, Model_number, Mpns, PartNumber, Part_number, StrippedMpns | CMS12LC250 |
| qtyInStock | -2 |
| qtySource | Default field |
| SKU | 901-CMS12LC250 |
| snippet | Buy ComplyRight CMS-1500 Health Insurance Claim Forms on Quill.com. Ensure your insurance claims are up-to-date with 250 forms/box. |
| Product Group, Binding, ProductGroup, WebsiteDisplayGroupName | Office Product |
| ASIN | B01E37YZ2O B01MSSILT0 |
| AdultProduct, Autographed, Batteries_included, Batteries_required, Contains_liquid_contents, Is_expiration_dated_product, Memorabilia, TradeInEligible | False |
| Amount | 12.48 |
| Asin | B01E37YZ2O B0C3F84FZT |
| Bullet_point | 20-Lb paper with OCR "dropout" red ink for greater scanning accuracy Comply with CMS standards and requirements for paper, layout and ink. Easy-to-read forms for faster claims processing. Forms adhere to strict printing standards that govern the layout, paper and ink Include all 02/12 NUCC revisions, replacing the previous 08/05 version. Meet billing requirements for Medicare Part B. Printed in scannable, dropout OCR red ink. Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims SFI certified - certified to meet SFI standards |
| Case | 250 |
| Cat | Office Products |
| CatId | 1064954 |
| CatTree | 1064954 1069242 1069376 1084128 490833011 |
| ClassificationId | 1069680 |
| Color | Red & White |
| Currency, 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 | 1 1.0 1.29 1.299999998674 1000 28.702 500 75 |
| Identifier | 0758399422254 50015171275824 758399422254 |
| IdentifierType | EAN GTIN UPC |
| ItemClassification | BASE_PRODUCT |
| ItemName, Item_name | ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 250-Count (CMS12LC250) ComplyRight CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total |
| Item_package_quantity, PackageQuantity | 1 250 |
| Item_package_weight | 1.043262451 2.598 |
| Item_type_keyword | business-claim-forms |
| Keyword | AL-CCL2-1500-0-C CMS12LC250 |
| Length | 11 11.0 11.22 11.224 11.299999988474 3.302 |
| 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/51o4MvelwVL._SL75_.jpg https://m.media-amazon.com/images/I/51o4MvelwVL.jpg https://m.media-amazon.com/images/I/51tLrISaH4L._SL75_.jpg https://m.media-amazon.com/images/I/51tLrISaH4L.jpg https://m.media-amazon.com/images/I/51xTLfdYkdL._SL75_.jpg https://m.media-amazon.com/images/I/51xTLfdYkdL.jpg https://m.media-amazon.com/images/I/61D9PaakBkL.jpg https://m.media-amazon.com/images/I/61PMaJhoPGL._SL75_.jpg https://m.media-amazon.com/images/I/61PMaJhoPGL.jpg https://m.media-amazon.com/images/I/61lrseqzFQL.jpg https://m.media-amazon.com/images/I/71YpfkrCBJL.jpg https://m.media-amazon.com/images/I/71aOZydpdEL.jpg https://www.amazon.com/gp/bestsellers/office-products https://www.amazon.com/gp/bestsellers/office-products/1069680 |
| List_price | 12.48 22.99 |
| Marking_type | epa_registration_number |
| Material, MaterialType | Paper |
| Name, Theme | SIZE_NAME |
| Package_level | unit |
| ParentAsins | B01MSSILT0 |
| ProductCategoryId | 1069680 8297370011 biss_display_on_website office_product_display_on_website |
| ProductType, ProductTypeName | OFFICE_PRODUCTS WOUND_DRESSING |
| Product_expiration_type | Does Not Expire |
| Product_site_launch_date | 2016-04-15T07:00:00-00:00 2023-04-24T20:29:42.090Z |
| Rank | 1106853 12 14 151841 206 214091 27 273377 41 45405 52741 63 75930 80024 |
| Registration_status | fifra_not_considered_pesticide |
| ReleaseDate | 2023-04-04 |
| Size | 250 Count |
| Sku | 1500-250 |
| Sterility_rating | Sterile |
| Street_date | 2023-04-04T00:00:01Z |
| Supplier_declared_dg_hz_regulation | not_applicable unknown |
| Title | ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 250-Count (CMS12LC250) Health Insurance Claim Forms Office Products |
| Type | Count VARIATION ean gtin upc |
| URL | http://ecx.images-amazon.com/images/I/51xTLfdYkdL._SL75_.jpg https://m.media-amazon.com/images/I/51xTLfdYkdL._SL75_.jpg |
| Unit | centimeters inches kilograms pounds |
| Unit_count | 250.0 |
| Units | inches pixels pounds |
| Variant | MAIN PT01 PT02 PT03 |
| VariationTheme | size |
| WebsiteDisplayGroup | office_product_display_on_website |
| Weight | 2.29999999807124162 2.299999998071242 2.598 |
| Width | 1000 22.605999999999998 500 75 8.5 8.71 8.714 8.899999990921999212598426 8.899999990922 |
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.