• ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)
    ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)
1 1

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (CMS12LC1)

$31.44
$31.44
Sale Sold out

Type : Office Supplies

SKU : TFPCMS12LC1

Tags : All, ComplyRight, Forms, Office Supplies,

Collections : All products, ComplyRight, Forms, Office Supplies,

Availability : In Stock

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Returns available on all orders

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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. Form Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Features

  • 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.

Manufacturer

ComplyRight

Categories

ComplyRight Office Supplies, ComplyRight Forms

MPN

TFPCMS12LC1

Model#

CMS12LC1

UPC Code

813859024444

UNSPSC Code

0

Assembly Required

No assembly is required

Contains Recycled Materials

N

Green Product

N

Unit of Measure

CT

Item Weight

10.986

Ships via UPS

Y

Carton Pack Quantity

1000 EA

This item is sold by the

CT which contains 1000 EA

GTIN Item

813859024444

UPC Retail

813859024444

Brand

ComplyRight

Manufacturer Stock No.

CMS12LC1

Country of Origin

US

UNSPSC Number

14111806