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ComplyRight® CMS-1500 Health Insurance Claim Form

TFP650657 Thumbnail
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
TFP650657
Delivery: 1 - 2 business days
TFPCMS12LC1 Thumbnail
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
TFPCMS12LC1
Item is not currently available for purchase
TFPCMS12LC250 Thumbnail
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
TFPCMS12LC250
Item is not currently available for purchase
TFP650656 Thumbnail
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 500 Forms Total
TFP650656
Item is not currently available for purchase
CNK12LC500 Thumbnail
CMS-1500 Health Insurance Claim Forms with QR Code Identifier, One-Part (No Copies), 8.5 x 11, 500 Forms Total
CNK12LC500
Item is not currently available for purchase
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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.

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