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Product Description
Speed third-party billing and manage your cash flow with these AMA and CMS approved insurance claim forms for your laser printer! Measuring 8 1/2" x 11", the forms include all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee). The one-part forms are printed on 20# white bond stock in OCR red ink. The forms accommodate NPI numbers as mandated by HIPAA and are accepted by most health insurance companies. The single-sheet format works with most laser printers. This product is sold blank.
Product ID: 60150X
Part ID: 134780
Material: Paper
Product Details
- Additional Info: 8 1/2" x 11" insurance claim form that's one part on 20# white bond stock with printing in OCR red ink; sold unimprinted,
- Material: Paper
- Product Length (IN): 8.5
- Product Width (IN): 11
Additional Information
Please call for other versions or special pricing on larger quantities. Call us for custom options.
Keywords
✓ In Stock • Customized with Your Logo • Fast Turnaround • Price Beat Guarantee
Claim Forms, Insurance, CMS-1500 Laser Sheet
You Save $0.02! - Save up to $0.02!
Selected: White
White
Material: Paper
Lead Time: 15 days
Price Tiers & Discount
| Quantity | Original Price | Discounted Price | Discount |
|---|---|---|---|
| 500+ | $0.12 | $0.10 | 20% OFF |
| 1,000+ | $0.09 | $0.07 | 20% OFF |
| 1,500+ | $0.08 | $0.07 | 20% OFF |
| 2,000+ | $0.08 | $0.07 | 20% OFF |
| 2,500+ | $0.08 | $0.06 | 20% OFF |
| 5,000+ | $0.08 | $0.07 | 20% OFF |
| 7,500+ | $0.08 | $0.06 | 20% OFF |
| 10,000+ | $0.08 | $0.06 | 20% OFF |
| 15,000+ | $0.08 | $0.06 | 20% OFF |
| 20,000+ | $0.08 | $0.06 | 20% OFF |
💡 Free Shipping: Add $451.60 more to qualify for free shipping!
💰 You Save $12.10 Today!
Shipping Information
Free ground shipping to the lower 48 states applies as long as the quantity of the item ordered multiplied by the per unit price is at least $500. Otherwise a flat $100 less than the minimum charge will apply for any such item. Additional charges may apply for shipping by air or to other locations. Certain items or customizations may incur additional costs not captured during checkout and will be quoted before processing the order. Unless exempt, sales tax will apply to orders shipped to Minnesota and will be added after checkout.
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Our Customer Feedback
Mike Larson
(5)Unbelievable Turn-around
We are stunned with how quickly we received our order. It turned out perfect, and all of our interactions with staff have been fantastic. Thank you so much!
Jana
(5)Great customer service and on-time delivery with product as advertised!
The product arrived exactly as advertised and on time. This company was very easy to work with, and the price was great!
Sarah
(5)Quick Turn-Around and Immediate Communisaton
I've ordered a couple times from RELY. My initial order was not time sensitive so we had time to get it correct. We went back and forth with proofs until I felt comfortable. When I had a question, the sales team was very responsive. When it came to my re-order, I needed it fast. They responded and got it to me right on time.
Rob
(5)Fabulous experience, great suggestions from the staff!
The sales staff had great suggestions and were very helpful in the process to, in the end, get exactly what was necessary for our use!
Emily
(5)Great service!
Everything went well as anticipated, and as planned. Service was superb & shipment was expedited in a speedy fashion! Thank you for your service!
Freddy
(5)Thumbdrives
2nd time I have ordered from these guys and they have a good product for the price. The delivery time was as said with no troubles. Would recommend and will be reordering again.
Patty
(5)This is a top notch company. Awesome as what they do. Highly recommend.
If you are looking for a company that says what they do and then do what they say - RELYmedia is for you!!! We have done a couple critical orders with RELYmedia and they were ahead of schedule and the items were perfect. We will be utilizing their talents again!!!
Blanca
(5)Very responsive,
All my inquiries were handled in a very timely fashion. My contact was courteous and helpful. Items ordered were received very quickly. Thanks for the superior service!
Andrew
(5)Overall great experience.
They are friendly and knowledgeable. They are well priced, and ship fast.
