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ComplyRight® CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack

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. Printed in scannable, OCR dropout red ink.
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Item: 650657 | By: ComplyRight
$3.95PK
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  • 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 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. Printed in scannable, OCR dropout red ink.
    33test33
    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.


    Specifications

    Copy Types
    One-Part
    Form Quantity
    100
    Form Size
    8.5 x 11
    Forms Per Page
    1
    Layout
    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
    Product_Description
    FORMHLTH INSCMS-1500
    Sheet Size
    8.5 x 11
    Total Recycled Content Percent
    0%
    Global Product Type
    Forms-Insurance
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