ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657)

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657)

$5.06

- +

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657)

FORM,HLTH INS,CMS-1500

Model: 650657

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657)ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657)
7% off ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657)

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total (650657)

Model: 650657

FORM,HLTH INS,CMS-1500

$5.06 $5.40 ($0.05/SH)

ComplyRight
- +

In Stock 1-2 Day Delivery

  • 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.

$5.06$5.40($0.05/SH)

- +

In Stock 1-2 Day Delivery

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Product Details


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 Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form 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.

Product Specs


Manufacturer

MPN

TFP650657

Model#

650657

UPC Code

015171105096

UNSPSC Code

0

Copy Types

One-Part (No Copies)

Dated/Undated

Undated

Form Size

8.5 x 11

Forms Per Page

1

Global Product Type

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

Total Recycled Content Percent

0%

Color Family

White

Form Type Details

CMS-1500

Format Indicator

Unbound

Form Quantity (Total)

100

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

GTIN Item

015171105096

UPC Retail

015171105096

Brand

ComplyRight

Manufacturer Stock No.

650657

Country of Origin

US

UNSPSC Number

14111806

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Officecrave.com is a leader in office supplies and business supplies including printer supplies, industrial supplies, janitorial supplies, and more. Our goal is to provide businesses with the most affordable price on the highest-quality items and the ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack (650657) is no exception.

Our customers 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 (650657) are manufactured under ISO 9001 Quality Standards. We also keep 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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