ComplyRight CMS12LC1 CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 1,000/Carton (TFP116719)
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- Meet billing requirements for Medicare Part B.
- Easy-to-read forms for faster claims processing.
- Comply with CMS standards and requirements for paper, layout and ink.
- Printed in scannable, dropout OCR red ink.
- Include all 02/12 NUCC revisions, replacing the previous 08/05 version.
Product Description
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: 1,000; Sheet Size: 8.5 x 11.Product Specs
Global Product Type | Forms-Insurance |
Form Size | 8.5 x 11 |
Forms Per Page | 1 |
Form Quantity | 1,000 |
Sheet Size | 8.5 x 11 |
Principal Heading(s) | 1500 Health Insurance Claim Form |
Layout | One Form per Sheet |
Copy Types | One-Part |
Paper Color(s) | White |
Print and Ruling Color(s) | OCR Red |
Pre-Consumer Recycled Content Percent | 0% |
Post-Consumer Recycled Content Percent | 0% |
Total Recycled Content Percent | 0% |
Country of Origin | US |
Carton Weight | 11 lbs. |
Carton Pack Quantity | 1000 EA |
UNSPSC | 14111806 |
Shipping Weight & Item Dimensions | |
Weight | 10.986 |
Width | 9.1 |
Height | 4.886 |
Depth | 11.414 |