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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
SKU
TFP650657
by ComplyRight
$8.71 /PACKAGE
Delivered in 2-4 business days
In stock
- 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.
Category: Record Keeping & Money Handling
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 Family | White |
---|---|
Copy Types | One-Part (No Copies) |
Dated/Undated | Undated |
Form Quantity (Total) | 100 |
Form Size | 8.5 x 11 |
Form Type Details | CMS-1500 |
Format Indicator | Unbound |
Forms Per Page | 1 |
Global Product Type | Insurance Forms |
Paper Color(s) | White |
Post-Consumer Recycled Content Percent | 0% |
Pre-Consumer Recycled Content Percent | 0% |
Principal Heading(s) | 1500 Health Insurance Claim Form |
Print and Ruling Color(s) | OCR Red |
Product Biodegradability in Days | 0 |
Sheet Size | 8.5 x 11 |
Total Recycled Content Percent | 0% |
UPC | 015171105096 |
---|---|
Weight (lbs) | 1.0700 |
MPN | 650657 |
Brand | ComplyRight |
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