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

Our Price: $24.42

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Description


ComplyRight® CMS-1500 Health Insurance Claim Form

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

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.

**SPECIAL ORDER ITEM Please allow 7-14 days for delivery**

Keywords: Paperwork; Records; Documents; Pre-Printed; Record-Keeping

Additional information

Weight 2.993 lbs
Dimensions 12.077 × 8.362 × 12.077 in
Brand

Manufacturer Part Number

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