CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total

SKU
TFPCMS12LC1
$39.93 /CARTON
Out of stock

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 and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.


Color FamilyWhite
Copy TypesOne-Part (No Copies)
Dated/UndatedUndated
Form Quantity (Total)1,000
Form Size8.5 x 11
Form Type DetailsCMS-1500
Format IndicatorUnbound
Forms Per Page1
Global Product TypeInsurance Forms
Paper Color(s)White
Post-Consumer Recycled Content Percent0%
Pre-Consumer Recycled Content Percent0%
Principal Heading(s)1500 Health Insurance Claim Form
Print and Ruling Color(s)OCR Red
Product Biodegradability in Days0
Sheet Size8.5 x 11
Total Recycled Content Percent0%
Weight (lbs)10.990000
UPC813859024444
MPNCMS12LC1
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