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ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 500/Box (1032410)

  • 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.
More Details
$23.24 $53.99
OUT OF STOCK

Product#: 1032410

EXPIDITED SHIPPING - Estimated Delivery Fri 3/29

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 replacement for the previous 08/05 version. Printed in scannable, OCR "dropout" red ink. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Sheet Size: 8.5 x 11.

  • 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 Specification

Manufacturer ComplyRight
Categories ComplyRight Office SuppliesComplyRight Forms, Recordkeeping & Reference MaterialsComplyRight Forms
Manufacturer Stock No. 650656
MPN TFP1032410
Model# 1032410
UPC Code 015171105904
UNSPSC Code 0
Copy Types One-Part
Form Quantity 500
Form Size 8.5 x 11
Forms Per Page 1
Global Product Type Forms-Insurance
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
Sheet Size 8.5 x 11
Total Recycled Content Percent 0%
Assembly Required No assembly is required
Contains Recycled Materials N
Green Product N
Unit of Measure BX
Item Weight 9.6
Ships via UPS Y
Carton Pack Quantity 500 EA
Box Pack Quantity 500 EA
This item is sold by the BX which contains 500 EA
Brand ComplyRight
Country of Origin US
UNSPSC Number 14111810

ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 500/Box (1032410) Reviews

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