ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms

Product Number: TFP953639
  • Meet billing requirements for Medicare Part B.
  • Easy-to-read forms for faster claims processing.
  • Comply with CMS standards and requirements for paper, layout and ink.
  • Printed in scannable, dropout OCR red ink.
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$13.99
Free Shipping Orders Over $45+ Estimated Delivery  Thu 6/24  Thu 6/24   (3 business days)  
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Product Description

ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms - 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.

  • Meet billing requirements for Medicare Part B.
  • Easy-to-read forms for faster claims processing.
  • Comply with CMS standards and requirements for paper, layout and ink.
  • Printed in scannable, dropout OCR red ink.
  • Include all 02/12 NUCC revisions, replacing the previous 08/05 version.
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Product Specifications

  • Assembly Required
    No
  • Brand Name
    ComplyRight
  • Copy Types
    One-Part
  • Country of Origin
    United States
  • Form Quantity
    250
  • Form Size
    8.5 x 11 8.5 x 11
  • Forms Per Page
    1
  • Global Product Type
    Forms-Insurance
  • Layout
    One Form per Sheet One Form per Sheet
  • 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
  • Printer Compatibility
    Typewriter/Handwrite Only
  • Recycled
    No
  • Sheet Size
    8.5 x 11
  • Total Recycled Content Percent
    0%

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