CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 500 Forms Total

SKU

TFP650656

by ComplyRight

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$28.89 /BOX

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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.

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

More Information

Weight (lbs)	9.600000
UPC	015171105904
MPN	650656

Reviews

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 500 Forms Total

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