ComplyRight

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

Category Forms
TFPCMS12LC250 TFPCMS12LC250
TFPCMS12LC250 TFPCMS12LC250
ComplyRight

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

Item Code: TFPCMS12LC250
Category Forms
Manufacturer TFP Data Systems
Manufacturer Ref CMS12LC250

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.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

2.6lb

Height

1.29in

Width

8.71in

Length

11.22in

Brand

ComplyRight

Category

Forms

Color Family

White

Copy Types

One-Part (No Copies)

Dated/undated

Undated

Form Quantity (Total)

250

Form Size

8.5 x 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

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

Sheet Size

8.5 x 11

Total Recycled Content Percent

0%

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ComplyRight

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

Category Forms
TFPCMS12LC250 TFPCMS12LC250
TFPCMS12LC250 TFPCMS12LC250
ComplyRight

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

Item Code: TFPCMS12LC250
Category Forms
Manufacturer TFP Data Systems
Manufacturer Ref CMS12LC250

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.

Specifications

Made In

US

UNSPSC Code

14111806

Weight

2.6lb

Height

1.29in

Width

8.71in

Length

11.22in

Brand

ComplyRight

Category

Forms

Color Family

White

Copy Types

One-Part (No Copies)

Dated/undated

Undated

Form Quantity (Total)

250

Form Size

8.5 x 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

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

Sheet Size

8.5 x 11

Total Recycled Content Percent

0%

Call for price
Add to quick list
Compare
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