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ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Product Number: TFPCMS12LC1
$34.53
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Product Description
ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
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.
- 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.
Product Specifications
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Assembly RequiredNo
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Brand NameComplyRight
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Copy TypesOne-Part (No Copies)
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Country of OriginUnited States
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Dated/UndatedUndated
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Form Size8.5 x 11 8.5 x 11
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Forms Per Page1
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Global Product TypeInsurance Forms
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Paper Color(s)White
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Post-Consumer Recycled Content Percent0%
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Pre-Consumer Recycled Content Percent0%
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Principal Heading(s)1500 Health Insurance Claim Form
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Print and Ruling Color(s)OCR Red
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RecycledNo
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Sheet Size8.5 x 11
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Total Recycled Content Percent0%