CMS-1500 Health Insurance Claim Forms with QR Code Identifier, One-Part (No Copies), 8.5 x 11, 500 Forms Total

Name: CMS-1500 Health Insurance Claim Forms with QR Code Identifier, One-Part (No Copies), 8.5 x 11, 500 Forms Total
Brand: ComplyRight®
SKU: CNK12LC500
Price: 10.77 USD
Availability: OutOfStock

Item # CNK12LC500

Brand: ComplyRight®

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Product Details

Product Highlights

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.

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.

Product Specifications

Dimensions / Specifications
Unit of Measure	PK
Item Dimensions	8.80 in. x 2.00 in. x 11.30 in. (W x H x D)
Item Weight	4.800 lbs
Carton Pack Quantity	1 PK
Carton Pack Dimensions	9.10 in. x 8.80 in. x 11.40 in. (W x H x D)
Carton Pack Weight	19.900 lbs
Pack Quantity	500 EA
This item is sold by the PK which contains 500 EA

Shipping Info
Can Ship via UPS?	Yes
Can Ship via Air Carrier?	Yes
Hazmat restrictions?	No

Additional Information
Has Energy Star Rating?	No
Is Certified with EPA/CPG?	No
Considered Green (less environmental impact)?	No
Made of Some or All Recycled Materials?	No
Warranty Offered?	No
Underwriter's Laboratory Approval?	No

Item Specifications
Brand	ComplyRight®

Manufacturer Info
Brand	ComplyRight®
Warranty Offered?	n
Manufacturer Stock No.	CMS12LC500
Quill Equivalent SKU	953631
Retail GTIN (UPC)
Country of Origin	US
UNSPSC Number	00141118
Product ID	7109135