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(149118 ratings)
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 500 Forms Total
SKU
TFP650656
by ComplyRight
$28.89 /BOX
Delivered in 2-4 business days
Out of 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.
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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.
| Copy Types | One-Part Carbonless |
|---|---|
| Form Quantity | 500 |
| Form Size | 8.5 x 11 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance |
| Layout | One Form per Sheet |
| 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 |
| Sheet Size | 8.5 x 11 |
| Total Recycled Content Percent | 0% |
| UNSPSC | 14111810 |
| Brand | ComplyRight |
|---|---|
| Weight (lbs) | 9.6000 |
| UPC | 015171105904 |
| MPN | 650656 |
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