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ComplyRight CMS-1500 Health Insurance Claim Forms with QR Code Identifier, One-Part (No Copies), 8.5 x 11, 500 Forms Total
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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 | |
|---|---|
| Considered Green (less environmental impact)? | No |
| Made of Some or All Recycled Materials? | No |
| Item Specifications |
|---|
| Manufacturer Info | |
|---|---|
| Brand | ComplyRight® |
| Manufacturer SKU | CMS12LC500 |
| Retail GTIN (UPC) | 00639266099598 |
| Country of Origin | US |
| UNSPSC Number | 00141118 |
| Product ID | 7109135 |
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