ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250)

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250) - Image 2

ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250)

Name: ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250) - Garafour
SKU: TFPCMS12LC250
Price: 20.03 USD
Availability: InStock
Rating: 4.50 (2 reviews)

Rated 4.50 out of 5 based on 2 customer ratings

4.50

SKU:

TFPCMS12LC250

$20.03

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SKU: TFPCMS12LC250 Categories: Forms, Office Supplies

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Description

Key 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.
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. Printed in scannable, OCR “dropout” red ink.
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.
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.

Specifications

Global Product Type: Insurance Forms
Form Type Details: CMS-1500
Dated: No
Forms Per Page: 1
Form Size: 8.5 x 11
Sheet Size: 8.5 x 11
Format Indicator: Unbound
Form Quantity (Total): 250
Copy Types: One-Part (No Copies)
Principal Heading(s): 1500 Health Insurance Claim Form
Paper Color(s): White
Color Family: White
Print and Ruling Color(s): OCR Red
Product Biodegradability Indicator: N
Product Biodegradability in Days: 0
Product Compostability Indicator: N
Pre-Consumer Recycled Content Percent: 0%
Post-Consumer Recycled Content Percent: 0%
Total Recycled Content Percent: 0%

Additional information

Weight	2.60 lbs

Brand

ComplyRight®

2 reviews for ComplyRight CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total (TFPCMS12LC250)

4.50

Rated 4.50 out of 5 based on 2 customer ratings

Average of 2 reviews

5 1

4 1

3 0

2 0

1 0

Rated 4 out of 5

Macie Archer (verified owner) – April 16, 2025

Absolutely loved it. Nice!
Rated 5 out of 5

Julien Grimes (verified owner) – April 16, 2025

Seamless and easy. Fantastic, excellent, helpful!

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