CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total - Image 2
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total - Image 3
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total - Image 4

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

$44.86

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: No; Forms Per Page: 1; Form Size: 8.5 x 11.

100 in stock

SKU: TFPCMS12LC250 Categories: , , , Brand:
Color Family: White
Copy Types: One-Part (No Copies)
Dated: No
Format Indicator: Unbound
Form Quantity (Total): 250
Form Size: 8.5 x 11
Forms Per Page: 1
Form Type Details: CMS-1500
Global Product Type: Insurance Forms
Paper Color(s): White
Post-Consumer Recycled Content Percent: 0%
Pre-Consumer Recycled Content Percent: 0%
Principal Heading(s): 1500 Health Insurance Claim Form
Print and Ruling Color(s): OCR Red
Product Biodegradability Indicator: N
Product Compostability Indicator: N
Sheet Size: 8.5 x 11
Total Recycled Content Percent: 0%
 

Additional information

 
Weight 2.60 lbs
Dimensions 8.71 × 1.29 in

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