null

Guaranteed Lowest Pricing On All SC Johnson Professional Products, Contact Us!! 

ComplyRight®

Cms-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total - TFPCMS12LC250

(No reviews yet) Write a Review
SKU:
TFPCMS12LC250
MPN:
CMS12LC250
Weight:
2.60 LBS
Shipping:
Calculated at Checkout
$43.53
$22.19
— You save $21.34

Sorry this product is temporarily out of stock

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: 2.598 lbs.
Height: 1.29 in
Depth: 11.224 in
Width: 8.714 in

View AllClose

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.
View AllClose