CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack
Item #: TFP650657
$6.99/Pack of 100
$6.79/Pack of 100
Estimated Delivery: Thu 4/25 to Fri 4/26
Product 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.
UPC: 015171105096
ITEM #: TFP650657
Product Type: General Forms
General Forms
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Product Specifications
Copy Types
One-Part Carbonless
Global Product Type
Forms-Insurance
Manufacturer Name
ComplyRight
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
Total Recycled Content Percent
0%
ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack (TFP650657)