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: 250; Sheet 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 |
|
Form Quantity
|
250 |
|
Sheet Size
|
8.5 x 11 |
|
Principal Heading(s)
|
1500 Health Insurance Claim Form |
|
Layout
|
One Form per Sheet |
|
Copy Types
|
Two-Part Carbonless |
|
Print and Ruling Color(s)
|
OCR Red |
|
Printer Compatibility
|
Typewriter; Handwrite Only |
|
Pre-Consumer Recycled Content Percent
|
0% |
|
Post-Consumer Recycled Content Percent
|
0% |
|
Total Recycled Content Percent
|
0% |
