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

$27.15

TFPCMS12LC250

In Stock

SKU: TFPCMS12LC250 Categories: Forms, Recordkeeping & Reference Materials, Office

Description

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.

Carton Info:Count: 2 PK / Carton

Weight: 21.0 lbs / Carton

Dimensions: 9.214″ x 9.652″ x 11.8″

UPC: 758399422254

Additional information

Weight	2.60 lbs
Dimensions	11.22 × 8.71 × 1.29 in
Brand	ComplyRight®
Color Family	White
Copy Types	(No, Copies), One-Part
Dated	No
Form Quantity (Total)	250
Form Size	11, 8.5, x
Form Type Details	CMS-1500
Format Indicator	Unbound
Forms Per Page	1
Global Product Type	Forms, Insurance
MPN	CMS12LC250
Paper Color(s)	White
Principal Heading(s)	1500, Claim, Form, Health, Insurance
Print and Ruling Color(s)	OCR, Red
Sheet Size	11, 8.5, x
Ship Class Code	M
UPC	758399422254

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