ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657)
ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657)
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FORM,HLTH INS,CMS-1500
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In Stock
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.
650657MPN
TFP650657Model#
650657UPC Code
015171105096UNSPSC 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)
100Form Type Details
CMS-1500Format Indicator
UnboundAssembly Required
No assembly is requiredContains Recycled Materials
NGreen Product
NUnit of Measure
PKItem Weight
1.065Ships via UPS
YCarton Pack Quantity
500 PKBrand
ComplyRightCountry of Origin
USUNSPSC Number
14111806
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ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657) Reviews
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