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Cms-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total - TFPCMS12LC1

$50.33
$76.95
You save  $26.62
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SKU:
TFPCMS12LC1
MPN:
CMS12LC1
Weight:
10.99 LBS
  • Cms-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
  • Cms-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
  • Cms-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
  • Cms-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
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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 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.

Item Dimensions
Weight: 10.986 lbs.
Height: 4.886 in
Depth: 11.414 in
Width: 9.1 in

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Additional Information

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.
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