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  • 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

ComplyRight CMS-1500 Health Insurance Claims, 2500/Pack (CMS12LC)

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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"
Details
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"
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