ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2″ x 11″, Pack of 500 (CMS12LC500)
Original price was: $44.00.$31.99Current price is: $31.99.
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 |
|---|---|
| Medical Form Pack Size | 11 |
| Number of Parts Acid content determines how long the paper or product will last before breaking down. The acid level is measured by the pH (potential of hydrogen) on a scale from 0 to 14. Acid Free (alkaline) paper has a higher pH (above 7), has a longer life expectancy, and is less likely to discolor and break down over time. | Acid Free |
| Width in Inches | Health Insurance Claims |
| Print Type Actual manufacturer name for the color of the product. | White/Red |
| Pack Qty | 500 |
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