ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (TFPCMS12LC1)
ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (TFPCMS12LC1)
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FORM,HLTH INSRNC,1000/CT
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Out Of Stock
Product Family
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 and is a direct replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
Product Features
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Meet billing requirements for Medicare Part B.
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Easy-to-read forms for faster claims processing.
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Comply with CMS standards and requirements for paper, layout and ink.
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Printed in scannable, dropout OCR red ink.
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Include all 02/12 NUCC revisions, replacing the previous 08/05 version.
Product Specs
Manufacturer
ComplyRightCategories
ComplyRight Office SuppliesComplyRight Forms, Recordkeeping & Reference MaterialsComplyRight FormsManufacturer Stock No.
CMS12LC1MPN
TFPCMS12LC1Model#
CMS12LC1UPC Code
813859024444UNSPSC Code
0Color Family
WhiteCopy Types
One-Part (No Copies)Dated / Undated
UndatedForm Size
8.5 x 11Forms Per Page
1Global Product Type
Insurance FormsPaper Color(s)
WhitePost-Consumer Recycled Content Percent
0%Pre-Consumer Recycled Content Percent
0%Principal Heading(s)
1500 Health Insurance Claim FormPrint and Ruling Color(s)
OCR RedSheet Size
8.5 x 11Total Recycled Content Percent
0%Form Quantity (Total)
1,000Form Type Details
CMS-1500Format Indicator
UnboundProduct Biodegradability in Days
0Assembly Required
No assembly is requiredContains Recycled Materials
NGreen Product
NUnit of Measure
CTItem Weight
10.986Ships via UPS
YCarton Pack Quantity
1000 EAThis item is sold by the
CT which contains 1000 EABrand
ComplyRightCountry of Origin
USUNSPSC Number
14111806
$255.99
$530.02
ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (TFPCMS12LC1) Reviews
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