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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total

SKU: TFP650657

  • 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.
Weight:1.065 lbs.
Unit of Measure:PK
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Description

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 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.

Product Details

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) 100
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%

Shipping Weight & Dimensions

Box Weight0.0 lbs.
Box Height0.0 in
Box Length0.0 in
Box Width0.0 in
Carton Height2.993 in
Carton Length
Carton Width8.362 in
Item Weight1.065 lbs.
Item Height0.312 in
Item Length11.062 in
Item Width8.515 in

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