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OEM#: CMS12LC1New OEM Original Outright
CMS-1500 HEALTH INSURANCE CLAIM FORM, ONE-PART (NO COPIES), 8.5 X 11, 1,000 FORMS TOTAL by Complyright
Your price:
$36.44 Per package of 1000 $76.95 Savings: $40.51 (53%)
Estimated to ship by 10/23 if ordered before 3:30 PM EST
OEM#: CMS12LC1CMS-1500 HEALTH INSURANCE CLAIM FORM, ONE-PART (NO COPIES), 8.5 X 11, 1,000 FORMS TOTAL by Complyright
New OEM Original Outright
Your price:
$36.44 Per package of 1000
$76.95 Savings: $40.51 (53%)
Ready to ShipEstimated to ship by 10/23 if ordered before 3:30 PM EST
Asset Information
ADD TO LIST
Product Overview
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.
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.
Technical Specs
P/N: CMS12LC1 Key Specs
Item
CMS-1500 HEALTH INSURANCE CLAIM FORM, ONE-PART (NO COPIES), 8.5 X 11, 1,000 FORMS TOTAL
OEM
Complyright
OEM #
CMS12LC1
Condition
New OEM Original
Returnable
No
Warranty
Mfr Warranty
Color Family
White
Copy Types
One-Part (No Copies)
Country of Origin
USA
Dated/Undated
Undated
Form Quantity (Total)
1,000
Form Size
8.5 x 11
Form Type Details
CMS-1500
Format Indicator
Unbound
Forms Per Page
1
Paper Color(s)
White
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Sheet Size
8.5 x 11
Total Recycled Content Percent
0%
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 Overview
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.
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.
Technical Specs
P/N: CMS12LC1 Key Specs
Item
CMS-1500 HEALTH INSURANCE CLAIM FORM, ONE-PART (NO COPIES), 8.5 X 11, 1,000 FORMS TOTAL
OEM
Complyright
OEM #
CMS12LC1
Condition
New OEM Original
Returnable
No
Warranty
Mfr Warranty
Color Family
White
Copy Types
One-Part (No Copies)
Country of Origin
USA
Dated/Undated
Undated
Form Quantity (Total)
1,000
Form Size
8.5 x 11
Form Type Details
CMS-1500
Format Indicator
Unbound
Forms Per Page
1
Paper Color(s)
White
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Sheet Size
8.5 x 11
Total Recycled Content Percent
0%
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 Overview
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.
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.
How can we
improve our item listing
?Technical Specs
P/N: CMS12LC1 Key Specs
Item
CMS-1500 HEALTH INSURANCE CLAIM FORM, ONE-PART (NO COPIES), 8.5 X 11, 1,000 FORMS TOTAL
OEM
Complyright
OEM #
CMS12LC1
Condition
New OEM Original
Returnable
No
Warranty
Mfr Warranty
Color Family
White
Copy Types
One-Part (No Copies)
Country of Origin
USA
Dated/Undated
Undated
Form Quantity (Total)
1,000
Form Size
8.5 x 11
Form Type Details
CMS-1500
Format Indicator
Unbound
Forms Per Page
1
Paper Color(s)
White
Post-Consumer Recycled Content Percent
0%
Pre-Consumer Recycled Content Percent
0%
Principal Heading(s)
1500 Health Insurance Claim Form
Print and Ruling Color(s)
OCR Red
Sheet Size
8.5 x 11
Total Recycled Content Percent
0%
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.