ComplyRight®
Cms-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total - TFPCMS12LC250
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- SKU:
- TFPCMS12LC250
- MPN:
- CMS12LC250
- Weight:
- 2.60 LBS
- Shipping:
- Calculated at Checkout
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.
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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: 2.598 lbs.
Height: 1.29 in
Depth: 11.224 in
Width: 8.714 in
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