CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Name: CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Brand: ComplyRight
SKU: TFPCMS12LC250
Price: 25.36 USD
Availability: PreOrder

Item Code: TFPCMS12LC250

Category Forms

Manufacturer TFP Data Systems

Description

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: No; Forms Per Page: 1; Form Size: 8.5 x 11.

Specifications

Made In

UNSPSC Code

14111806

Weight

2.6lb

Height

1.29in

Width

8.71in

Length

11.22in

Brand

ComplyRight

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Item Code: TFPCMS12LC250

Category Forms

Manufacturer TFP Data Systems

Description

Specifications

Made In

UNSPSC Code

14111806

Weight

2.6lb

Height

1.29in

Width

8.71in

Length

11.22in

Brand

ComplyRight

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Description

Specifications

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total

Description

Specifications

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