null
ComplyRight®

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

(No reviews yet) Write a Review
SKU:
TFPCMS12LC250
UPC:
758399422254
MPN:
CMS12LC250
Weight:
2.60 LBS
  • CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
  • CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
  • CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
  • CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
$43.53
$39.99
— You save $3.54
Frequently bought together:

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.
View AllClose

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
Format Indicator:
Unbound
Copy Types:
One-Part (No Copies)
Form Quantity (Total):
250
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
View AllClose

0 Reviews

View AllClose

YOU MAY LOVE THESE

YOU MAY LOVE THESE