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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.

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

TFPCMS12LC1
$77.21

CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms

TFPCMS12LC250
$43.53 $33.95