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ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (CMS12LC250)
ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (CMS12LC250)
Regular price
$19.31
Regular price
Sale price
$19.31
Unit price
per
Type : Office Supplies
SKU : TFPCMS12LC250
Tags : All, ComplyRight, Forms, Office Supplies,
Collections : All products, ComplyRight, Forms, Office Supplies,
Availability : In Stock
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Shipping & Returns
Shipping & Returns
Returns available on all orders
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
Categories
MPN
TFPCMS12LC250
Model#
CMS12LC250
UPC Code
758399422254
UNSPSC Code
0
Assembly Required
No assembly is required
Contains Recycled Materials
N
Green Product
N
Unit of Measure
PK
Item Weight
2.598
Ships via UPS
Y
Carton Pack Quantity
2 PK
Pack Quantity
250 EA
This item is sold by the
PK which contains 250 EA
GTIN Item
758399422254
UPC Retail
758399422254
Brand
ComplyRight
Manufacturer Stock No.
CMS12LC250
Country of Origin
US
UNSPSC Number
14111806
