ComplyRight CMS-1500 Health Insurance Claim Forms, Laser-Cut Sheet, 8 1/2in x 11in, White, Box Of 1, 000 Forms MPN:CMS12LC1

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Brand: Flossies Funnel Cakes
Part #: CMS12LC1
UPC: 015172205375
SKU
312-1421955
$73.58 for Order Qty of 2
Regular Price $62.75 Special Price $36.79

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ComplyRight CMS-1500 Health Insurance Claim Forms, Laser-Cut Sheet, 8 1/2in x 11in, White, Box Of 1, 000 Forms MPN:CMS12LC1
Satisfy medical billing requirements with compliant CMS-1500 forms. Its always best to have forms on hand to prevent delays. Stock up on CMS-1500 health insurance claim forms today. Required for healthcare providers to bill a patients insurance company for reimbursement of medical claims. CMS-1500 (version 02/12) replaces form (version 08/05). Providers should check with their payer and/or clearinghouses to determine which version they will accept. Forms must adhere to strict printing standards that govern the layout, paper and ink. Each form must have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association. 20-lb paper with OCR "dropout" red ink for greater scanning accuracy. Corresponding envelopes sold separately. Laser-cut for convenience.

Features

  • Acid Free: Yes
  • Binding Type: Perfect
  • Brand Name: ComplyRight
  • Carbonless: No
  • Color (Ink): Red
  • Double Sided: No
  • Manufacturer: FLOSSIE'S FUNNEL CAKES, INC.
  • Number of Parts: True
  • Product Line: CMS-1500 Health Insurance Claim Forms
  • Quantity: 1000
  • Sheet Size: Letter (8-1/2" x 11")
  • Total Quantity: 1000 Medical Claim Forms

Additional Information

  • Country of Origin: US
  • UNSPSC Code: 14111810
  • UNSPSC Commodity: Personnel forms or personnel books
  • Green: No
  • Recycled Content: FALSE
  • Hazardous: No
  • Prop 65: No
  • MSDS URL: nan
  • Package Length: 20.00
  • Package Width: 11.00
  • Package Height: 8.50
  • Package Weight: 0.69
Product info last updated on February 16, 2026 10:56pm UTC
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