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

$76.95

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  • 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.

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    Description :

    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 Details** Global Product Type Insurance Forms Form Type Details CMS-1500 Dated No Forms Per Page 1 Format Indicator Unbound Copy Types One-Part (No Copies) Color Family White Form Size 8.5 x 11 Sheet Size 8.5 x 11 Form Quantity (Total) 1,000 Principal Heading(s) 1500 Health Insurance Claim Form Paper Color(s) White Print and Ruling Color(s) OCR Red Product Biodegradability Indicator N Product Biodegradability in Days 0 Product Compostability Indicator N Pre-Consumer Recycled Content Percent 0% Post-Consumer Recycled Content Percent 0% Total Recycled Content Percent 0% Country Of Origin US Carton Weight 11 lbs. Carton Pack Quantity 1000 EA Pack Quantity 0 UPC 813859024444 UNSPSC 14111806 Shipping Weight & Item Dimensions Weight 10.986 lbs. Length 11.414 in Height 4.886 in Width 9.1 in

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    CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms TotalCMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
    $76.95
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