ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack (650657)

ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack (650657)

$4.95

- +

$4.95$5.10($0.05/SH)

- +

In Stock 1-2 Day Delivery

3% offComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 500/Box (650656)ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 500/Box (650656)

CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 500/Box

Model: 650656

$26.78 $27.61

Quantity
5% offComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms (CMS12LC250)ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms (CMS12LC250)

CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms

Model: CMS12LC250

$4.67 $4.92

Quantity
ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 500/Box (1032410)ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 500/Box (1032410)

FORM,HLTH INSUR CL,500/BX

Model: 1032410

$26.49

Quantity
ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 1,000/Carton (CMS12LC1)ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 1,000/Carton (CMS12LC1)

CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 1,000/Carton

Model: CMS12LC1

$17.22

Quantity

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

TFP650657

Model#

650657

UPC Code

015171105096

UNSPSC Code

0

Copy Types

One-Part Carbonless

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

GTIN Item

00015171105096

UPC Retail

015171105096

EPA Registration

N

Pesticide Product

N

FDA Certified

N

TSCA 6(h)

N

TSCA 12(b)

N

Brand

ComplyRight

Manufacturer Stock No.

650657

Country of Origin

US

UNSPSC Number

14111806

Questions & Answers

There are no questions for this product.

(0 reviews)
Write a review
5 star0%
4 star0%
3 star0%
2 star0%
1 star0%

HP

Top Trending Products

Hammermill Great White 30 Recycled Print Paper, 92 Bright, 20lb, 8.5 x 11, White, 500 Sheets/Ream, 10 Reams/Carton (86700)Hammermill Great White 30 Recycled Print Paper, 92 Bright, 20lb, 8.5 x 11, White, 500 Sheets/Ream, 10 Reams/Carton (86700)

Great White 30 Recycled Print Paper, 92 Bright, 20 lb Bond Weight, 8.5 x 11, White, 500 Sheets/Ream, 10 Reams/Carton

Model: 86700

$84.43

Quantity
HP DeskJet 4155e Wireless All-in-One Inkjet Printer, Copy/Print/Scan (26Q90A)HP DeskJet 4155e Wireless All-in-One Inkjet Printer, Copy/Print/Scan (26Q90A)

DeskJet 4155e Wireless All-in-One Inkjet Printer, Copy/Print/Scan

Model: 26Q90A

$124.89

Quantity
Duracell CopperTop Alkaline AAA Batteries, 24/Box (MN2400B24000)Duracell CopperTop Alkaline AAA Batteries, 24/Box (MN2400B24000)

Power Boost CopperTop Alkaline AAA Batteries, 24/Box

Model: MN2400B24000

$20.55

Quantity
Dial Antibacterial Foaming Hand Wash, Spring Water, 7.5 oz (05401)Dial Antibacterial Foaming Hand Wash, Spring Water, 7.5 oz (05401)

Antibacterial Foaming Hand Wash, Spring Water, 7.5 oz

Model: 05401

$4.36

Quantity
Sharpie Liquid Pen Style Highlighters, Chisel Tip, Assorted Colors, 10/Set (24415PP)Sharpie Liquid Pen Style Highlighters, Chisel Tip, Assorted Colors, 10/Set (24415PP)

Liquid Pen Style Highlighters, Assorted Ink Colors, Chisel Tip, Assorted Barrel Colors, 10/Set

Model: 24415PP

$10.57

Quantity

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 lowest 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.

We work with customers from all industries, including schools, government, medical, accounting, corporate, educational, healthcare, finance, military and private industry.

Everything you see on OfficeCrave.com 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 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.

Top Deals

On Sale

PURELL Surface Disinfecting Wipes & Advanced Hand Sanitizing Gel Bundle

Shop

On Sale

PURELL Advanced Hand Sanitizing Gel, 8 oz Pump Bottle, 12/Carton (404012SCT)

Shop

On Sale

PURELL Advanced Sanitizing Gel (960624S)

Shop

On Sale

PURELL Professional Surface Disinfecting Wipes, 7 x 8, Fresh Citrus, 110/Canister, 6 Canister/Carton (934206CT)

Shop