New
Arrivals/Restock
ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
4.7 (15 items)
Limited Time SaleUntil the end
12
45
38
$11.83 cheaper than the new price!!
Free shipping for purchases over $99 ( Details )
Free cash-on-delivery fees for purchases over $99
Free cash-on-delivery fees for purchases over $99
See all stores
Please note that the sales price and tax displayed may differ between online and in-store. Also, the product may be out of stock in-store.
New $23.67
Product details
| Management number | 202246472 | Release Date | 2025/09/30 | List Price | $11.84 | Model Number | 202246472 | ||
|---|---|---|---|---|---|---|---|---|---|
| Category | |||||||||
- 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.
Meet billing requirements for Medicare Part B. Easy-to-read forms with crisp, clean text help ensure faster claims processing. Paper, layout and ink comply with CMS standards and requirements. Layout includes all 02/12 NUCC revisions. Printed in scannable, OCR "dropout" red ink.
Men's
Pergolas
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