ComplyRight®
CMS- 1500 Health Insurance Claim Form, One- Part (No Copies), 8.5 x 11, 1, 000 Forms Total
- 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.
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.
Manufacturer:
ComplyRight®
Catalog:
Catalog page:
Technical specs:
Global Product Type
Insurance Forms
Form Type Details
CMS-1500
Dated/Undated
Undated
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 in Days
0
Pre-Consumer Recycled Content Percent
0%
Post-Consumer Recycled Content Percent
0%
Total Recycled Content Percent
0%
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