ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack (1032415)

ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack (1032415)

$3.77

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$3.77

($0.04/SH)

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Temporarily Out of Stock

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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: 100; Sheet Size: 8.5 x 11.

Features

  • 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

MPN

TFP1032415

Model#

1032415

UPC Code

015171105096

UNSPSC Code

0

Copy Types

One-Part

Form Quantity

100

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

PK

Item Weight

1.065

Ships via UPS

Y

Carton Pack Quantity

500 PK

Pack Quantity

100 SH

This item is sold by the

PK which contains 100 SH

Brand

ComplyRight

Manufacturer Stock No.

295075

Country of Origin

US

UNSPSC Number

14111806

Questions & Answers

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Officecrave.com is a leading provider of office supplies including printer supplies, industrial supplies, janitorial supplies, and more. We strive to provide businesses with the lowest price on the highest-quality items and the ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack (1032415) is no exception.

OfficeCrave.com shoppers are from all industries, including schools, government, medical, accounting, corporate, educational, healthcare, finance, military and private industry.

All our products including the ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack (1032415) are manufactured under ISO 9001 Quality Standards. We also offer a full line of TAA compliant products. Being green is an important part of our business and we are meeting all Green Compliance Standards.

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