CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total

SKU

TFPCMS12LC250

by ComplyRight

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$23.58 /PACKAGE

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Category: Record Keeping & Money Handling

Details

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)	250
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%

More Information

Weight (lbs)	2.600000
UPC	758399422254
MPN	CMS12LC250

Reviews

CMS-1500 Health Insurance Claim Form, Two-Part Carbonless, 8.5 x 11, 250 Forms Total

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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total

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