CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total

SKU: TFPCMS12LC1

Manufacturer part number: CMS12LC1

MSRP: $76.95

Price: $71.62

Qty:

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.

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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

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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