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ComplyRight® CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms
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.
| $14.84USD | Retail $14.99 |
Manufacturer:
Tfp Data Systems
Item:
CMS12LC250
UPC Code:
758399422254
Condition
New
Extended Warrenty
| 1 Year Extended Warrenty | $2.97 |
$14.84USD PK
$14.99
$14.99
Availability
In Stock
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Product description
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.
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