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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
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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.
Additional information
| Weight | 10.9860 lbs |
|---|---|
| Dimensions | 11.41 × 9.10 × 4.89 in |
| Format Indicator | Unbound |
| Form Size | 8.5 x 11 |
| Global Product Type | Insurance Forms |
| Form Type Details | CMS-1500 |
| Print and Ruling Color(s) | OCR Red |
| Principal Heading(s) | 1500 Health Insurance Claim Form |
| Ship Class Code | M |
| Product Biodegradability in | 0 |
| Color Family | White |
| Dated/Undated | Undated |
| Form Quantity (Total) | 1,000 |
| Sheet Size | 8.5 x 11 |
| Paper Color(s) | White |
| Forms Per Page | 1 |
| Copy Types | One-Part (No Copies) |
| Post-Consumer Recycled Cont | 0% |
| Pre-Consumer Recycled Conte | 0% |
| Total Recycled Content Perc | 0% |
| UPC | 813859024444 |
| MPN | CMS12LC1 |
| Brand | ComplyRight® |
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