ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250)
ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250)
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FORM,FORM,CMS1500(0212)LS
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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.
CMS12LC250MPN
TFPCMS12LC250Model#
CMS12LC250UPC Code
758399422254UNSPSC 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)
250Form Type Details
CMS-1500Format Indicator
UnboundProduct Biodegradability in Days
0Assembly Required
No assembly is requiredContains Recycled Materials
NGreen Product
NUnit of Measure
PKItem Weight
2.598Ships via UPS
YCarton Pack Quantity
2 PKBrand
ComplyRightCountry of Origin
USUNSPSC Number
14111806
ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250) Reviews
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