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

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

Item #: TFP953639

$4.29Pack of 250

Delivery in 2-5 business days.
Free Standard Shipping over $149
RSIRewards

Product Details

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.


UPC: 758399422254

ITEM #: TFP953639

Product Type: Industry Forms

Industry Forms 636 In Stock today.
Read More ▽

Product Specifications

Case Pack
Pack of 250
Copy Types
One-Part
Form Quantity
250
Form Size
8.5 x 11
Forms Per Page
1
Global Product Type
Forms-Insurance
Layout
One Form per Sheet
Manufacturer Name
ComplyRight
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
Sheet Size
8.5 x 11
Total Recycled Content Percent
0%
Weight
2.60 lb(s)
ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms (TFP953639)