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CMS 1500 Forms

Fully updated with the mandatory revisions, our CMS-1500 is 100% compliant and printed to exact specifications in stock, ready to ship, in both laser, snap a part and continuous formats.

The
ACS CMS-1500 offers some distinct advantages for healthcare customers. It is 100% compliant and printed to exact specifications. It also uses soy-based OCR “dropout” red ink and SFI (Sustainable Forestry Initiative) 20# paper for greater scanning accuracy. As a result, we’re so confident of our CMS-1500 form’s acceptance by insurance carriers that we offer Anti-Rejection Protection.™ *
Our forms are fully compliant and rejection-proof to ensure quicker payment by insurance companies.

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CMS-1500 Laser Part Form (02/12) CMS-1500 Insurance Claim Form

FREE SHIPPING / 1 Part Laser 8-1/2” x 11”H / 500 quantity

List Price: $65.00
Your Price: $25.00
You Save $40.00!

(1)
CMS-1500 Laser Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

FREE SHIPPING / 1 Part Laser 8-1/2” x 11”H / 1,500 case

List Price: $145.00
Your Price: $65.85
You Save $79.15!
CMS-1500 Laser Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

1 Part Laser / 8-1/2” x 11”H
2500 quantity

List Price: $135.00
Your Price: $75.00
You Save $60.00!
CMS-1500 Snap Apart 2 Part Form (02/12) 2012 CMS-1500 Insurance Claim Form

2 Part Snap Apart 8-1/2”W x 11”H / 1000 quantity

List Price: $175.00
Your Price: $122.00
You Save $53.00!

(2)
CMS-1500 1 Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

1 Part Continuous  9-1/2”W x 11”H / 2500 quantity

List Price: $145.00
Your Price: $95.00
You Save $50.00!
CMS-1500 2 Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

2 Part Continuous  9-1/2”W x 11”H /  1000 quantity

List Price: $145.00
Your Price: $95.00
You Save $50.00!
CMS-1500 3 Part Form (02/12) New 2012 CMS-1500 Insurance Claim Form

3 Part Continuous  9-1/2”W x 11”H / 500 quantity

List Price: $120.00
Your Price: $88.00
You Save $32.00!
Envelope Envelope

CMS-1500 #10 white  / Right Window / Gummed Flap / 500 box

List Price: $55.00
Your Price: $38.95
You Save $16.05!
Envelope Envelope

#10 white CMS-1500 / Right Window / Self Seal / 500 box

List Price: $65.00
Your Price: $54.95
You Save $10.05!
Envelope Envelope

#10 white CMS-1500 / Right Window / Imprinted / Gummed Flap / 500 box

List Price: $105.00
Your Price: $75.00
You Save $30.00!
Envelope Envelope

#10 white CMS-1500 / Right Window / Imprinted / Self Seal / 500 box

List Price: $145.00
Your Price: $85.00
You Save $60.00!
Envelope Envelope

CMS-1500 #10 white / Left Window / Gummed Flap / 500 box

List Price: $55.00
Your Price: $38.95
You Save $16.05!
Envelope Envelope

CMS-1500 #10 white / Left Window / Self Seal Flap / 500 box

List Price: $65.00
Your Price: $54.95
You Save $10.05!
Envelope Envelope

#10 white CMS-1500 / Left Window / Imprinted / Gummed Flap / 500 box

List Price: $105.00
Your Price: $75.00
You Save $30.00!
Envelope Envelope

#10 white CMS-1500 / Left Window / Imprinted / Self Seal / 500 box

List Price: $145.00
Your Price: $85.00
You Save $60.00!
Envelope Envelope

FREE SHIPPING! / Jumbo Envelope 9" x 13" / CMS-1500 / Sel Seal / Right Window  / 100 box

List Price: $75.00
Your Price: $44.95
You Save $30.05!
Envelope Envelope

FREE SHIPPING! / Jumbo Envelope 9" x 13" / CMS-1500 / Self Seal / Right Window / Imprinted  / 100 box

List Price: $195.00
Your Price: $98.95
You Save $96.05!
Envelope Envelope

Jumbo Envelope 9" x 12.5" / CMS-1500 / Left Window / 100 box

List Price: $75.00
Your Price: $39.95
You Save $35.05!
Envelope Envelope

Jumbo Envelope 9" x 12.5" / CMS-1500 / Left Window / Imprinted  / 100 box

List Price: $195.00
Your Price: $145.00
You Save $50.00!
   
 
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