ComplyRight 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)

$4.67

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$4.67$4.92($0.02/EA)

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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
3% offComplyRight 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)

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

Model: 650657

$4.95 $5.10

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: 250; 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

TFPCMS12LC250

Model#

CMS12LC250

UPC Code

758399422254

UNSPSC Code

0

Copy Types

Two-Part Carbonless

Form Quantity

250

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

Printer Compatibility

Typewriter; Handwrite Only

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

2.598

Ships via UPS

Y

Carton Pack Quantity

2 PK

Pack Quantity

250 EA

This item is sold by the

PK which contains 250 EA

Brand

ComplyRight

Manufacturer Stock No.

CMS12LC250

Country of Origin

US

UNSPSC Number

14111806

Questions & Answers

There are no questions for this product.

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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 mission 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, 250 Forms (CMS12LC250) is no exception.

OfficeCrave.com shoppers are 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, 250 Forms (CMS12LC250) are manufactured under ISO 9001 Quality Standards. We also stock 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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