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Cms-1500 Health Insurance Claim Forms, One-part, 8.5 X 11, 100-pack

ComplyRight®
ESTFP650657
4008 In stock
Office
$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...
$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 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"
Cms-1500 Health Insurance Claim Forms, One-part, 8.5 X 11, 100-pack
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