Zoom the image with mouse
Cms-1500 Health Insurance Claim Forms, One-part, 8.5 X 11, 100-pack
$6.37
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...
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.
- Global Product Type: Forms-Insurance
- Form Size: 8.5 x 11
- Forms Per Page: 1
- Form Quantity: 100
- Sheet Size: 8.5 x 11
- Principal Heading(s): 1500 Health Insurance Claim Form
- Layout: One Form per Sheet
- Copy Types: One-Part Carbonless
- Paper Color(s): White
- Print and Ruling Color(s): OCR Red
- Pre-Consumer Recycled Content Percent: 0%
- Post-Consumer Recycled Content Percent: 0%
- Total Recycled Content Percent: 0%
- Ship Class Code: M"