ComplyRight® CMS-1500 Health Insurance Claim Form
127596
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. Printed in scannable, OCR "dropout" red ink.
-8-5-x-11-1000-forms-total-1_415.jpg "CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total1")
