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CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 1,000/Carton
Model: CMS12LC1
Model: CMS12LC1
CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 1,000/Carton
$17.22 ($0.02/EA)
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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.
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.
Manufacturer
Categories
MPN
TFPCMS12LC1
Model#
CMS12LC1
UPC Code
813859024444
UNSPSC Code
0
Copy Types
One-Part Carbonless
Form Quantity
1,000
Form Size
8.5 x 11
Forms Per Page
1
Global Product Type
Forms-Insurance
Layout
One Form per Sheet
Paper Color(s)
White
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Sheet Size
8.5 x 11
TAA Compliant
Yes
Total Recycled Content Percent
0%
Assembly Required
No assembly is required
Contains Recycled Materials
N
Green Product
N
Unit of Measure
CT
Item Weight
10.986
Ships via UPS
Y
Carton Pack Quantity
1000 EA
This item is sold by the
CT which contains 1000 EA
Brand
ComplyRight
Manufacturer Stock No.
CMS12LC1
Country of Origin
US
UNSPSC Number
14111806
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