ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 1000-Count (CMS12LC1)

★★★★★ 4.8 125 reviews

US$13.39
Price when purchased online
Free shipping Free 30-day returns

Sold and shipped by sikiyouth.com
We aim to show you accurate product information. Manufacturers, suppliers and others provide what you see here.
US$13.39
Price when purchased online
Free shipping Free 30-day returns

How do you want your item?
You get 30 days free! Choose a plan at checkout.
Shipping
Arrives May 23
Free
Pickup
Check nearby
Delivery
Not available

Sold and shipped by sikiyouth.com
Free 30-day returns Details

Product details

Management number 224939317 Release Date 2026/05/09 List Price US$13.39 Model Number 224939317
Category

Satisfy recordkeeping requirements with cms-1500 Health insurance claim forms. Per Federal regulations, all healthcare providers must use the cms-1500 form for specific types of billing. The cms-1500 accommodates reporting of the National provider identifier, which must be used by all HIPAA-Covered entities. The form is printed with OCR "Dropout" Red ink on 20# paper, as per government regulations. Laser-cut sheet 1,000 per case printed with OCR "Dropout" Red ink on 201# paper, as per government regulations

  • 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
ASIN B01E37YZMO
Size 1,000
Brand ComplyRight
Color Red & White
Ink Color White
Item Weight 10 pounds
Manufacturer ComplyRight
Material Type Paper
Number of Items 1
Item model number CMS12LC1
Number of Drawers 2
Product Dimensions 11 x 8.5 x 5 inches
Manufacturer Part Number CMS12LC1
Is Discontinued By Manufacturer No

Correction of product information

If you notice any omissions or errors in the product information on this page, please use the correction request form below.

Correction Request Form

Customer ratings & reviews

4.8 out of 5
★★★★★
125 ratings | 51 reviews
How item rating is calculated
View all reviews
5 stars
87% (109)
4 stars
2% (3)
3 stars
1% (1)
2 stars
0% (0)
1 star
10% (13)
Sort by

There are currently no written reviews for this product.