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 Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.
Products specifications
| Attribute name |
Attribute value |
|
Global Product Type
|
Forms-Insurance |
|
Paper Color(s)
|
White |
|
Form Size
|
8.5 x 11 |
|
Forms Per Page
|
1 |
|
Sheet Size
|
8.5 x 11 |
|
Principal Heading(s)
|
1500 Health Insurance Claim Form |
|
Copy Types
|
One-Part (No Copies) |
|
Print and Ruling Color(s)
|
OCR Red |
|
Form Type Details
|
CMS-1500 |
|
Format Indicator
|
Unbound |
|
Form Quantity (Total)
|
1,000 |
|
Dated/Undated
|
Undated |
|
Pre-Consumer Recycled Content Percent
|
0% |
|
Post-Consumer Recycled Content Percent
|
0% |
|
Total Recycled Content Percent
|
0% |
|
Color Family
|
White |
