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ComplyRight®

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total

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SKU:
TFPCMS12LC1
UPC:
813859024444
MPN:
CMS12LC1
Weight:
10.99 LBS
  • CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
  • CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
  • CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
  • CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
$76.95
$69.99
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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 and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink.
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Additional Information

Sheet Size:
8.5 x 11
Product Biodegradability in Days:
0
Pre-Consumer Recycled Content Percent:
0%
Total Recycled Content Percent:
0%
Post-Consumer Recycled Content Percent:
0%
Ship Class Code:
M
Forms Per Page:
1
Dated/Undated:
Undated
Paper Color(s):
White
Color Family:
White
Form Size:
8.5 x 11
Form Quantity (Total):
1,000
Format Indicator:
Unbound
Copy Types:
One-Part (No Copies)
Principal Heading(s):
1500 Health Insurance Claim Form
Print and Ruling Color(s):
OCR Red
Form Type Details:
CMS-1500
Global Product Type:
Insurance Forms
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