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$5.06
FORM,HLTH INS,CMS-1500
Model: 650657
Model: 650657
FORM,HLTH INS,CMS-1500
$5.06 $5.40 ($0.05/SH)
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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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.
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
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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