ComplyRight® CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms
New
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. Printed in scannable, OCR dropout red ink.
| $14.84 USD Retail $14.99 |
Extended Warrenty
| 1 Year Extended Warrenty | $2.97 |
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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. Printed in scannable, OCR dropout red ink.
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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.
33test33
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.
Product Specifications
| Copy Types | One-Part |
| Form Quantity | 250 |
| Form Quantity | 250 |
| Form Quantity | 250 |
| Form Size | 8.5 x 11 |
| Forms Per Page | 1 |
| Global Product Type | Forms-Insurance |
| Global Product Type | Forms-Insurance |
| Global Product Type | Forms-Insurance |
| Layout | One Form per Sheet |
| Paper Color(s) | White |
| Paper Color(s) | White |
| Paper Color(s) | White |
| Post-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Post-Consumer Recycled Content Percent | 0% |
| Pre-Consumer Recycled Content Percent | 0% |
| Pre-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 |
| Printer Compatibility | Typewriter/Handwrite Only |
| Product_Description | FORMFORMCMS1500(0212)LS |
| Sheet Size | 8.5 x 11 |
| Total Recycled Content Percent | 0% |
| Total Recycled Content Percent | 0% |
| Total Recycled Content Percent | 0% |
| Copy Types | One-Part |
| Form Size | 8.5 x 11 |
| Forms Per Page | 1 |
| Layout | One Form per Sheet |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Print and Ruling Color(s) | OCR Red |
| Printer Compatibility | Typewriter/Handwrite Only |
| Product_Description | FORMFORMCMS1500(0212)LS |
| Sheet Size | 8.5 x 11 |
Material Safety Data Sheet
A Material Safety Data Sheet (MSDS) is a document that contains information on the potential hazards (health, fire, reactivity and environmental) and how to work safely with the chemical product.
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