ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total

Name: CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Brand: ComplyRight®
SKU: TFPCMS12LC1
Price: 50.92 USD
Availability: InStock

Item # TFPCMS12LC1

Brand: ComplyRight®

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Delivery: 2 - 3 business days

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1,000 Forms Total $50.92

250 Forms Total $28.02

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Product Details

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	CT
Item Dimensions	9.10 in. x 4.89 in. x 11.41 in. (W x H x D)
Item Weight	10.986 lbs
Carton Pack Quantity	1000 EA
Carton Pack Dimensions	9.10 in. x 4.89 in. x 11.41 in. (W x H x D)
Carton Pack Weight	10.986 lbs
This item is sold by the CT which contains 1000 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
Form Type Details	CMS-1500
Global Product Type	Insurance Forms
Dated	No
Forms Per Page	1
Form Size	8.5 x 11
Sheet Size	8.5 x 11
Format Indicator	Unbound
Form Quantity (Total)	1,000
Copy Types	One-Part (No Copies)
Principal Heading(s)	1500 Health Insurance Claim Form
Paper Color(s)	White
Color Family	White
Print and Ruling Color(s)	OCR Red
Product Biodegradability Indicator	N
Product Compostability Indicator	N
Pre-Consumer Recycled Content Percent	0%
Post-Consumer Recycled Content Percent	0%
Total Recycled Content Percent	0%