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
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
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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

SKU:TFPCMS12LC250
$22.21 /PK
$22.21
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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 .

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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 and is a direct repla

Technical Specifications

Color family White
Copy types One-Part (No Copies)
Dated No
Form quantity (total) 250
Form size 8.5 x 11
Form type details CMS-1500
Format indicator Unbound
Forms per page 1
Global product type Insurance Forms
Paper color(s) White
Principal heading(s) 1500 Health Insurance Claim Form
Print and ruling color(s) OCR Red
Sheet size 8.5 x 11
Total recycled content percent 0%

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