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Cms-1500 Health Insurance Claim Forms, One-part, 8.5 X 11, 500/box

Cms-1500 Health Insurance Claim Forms, One-part, 8.5 X 11, 500/box

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$32.99
$32.99
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  • Forms-Insurance
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.

Copy Types One-Part Carbonless
Form Quantity 500
Form Size 8.5 x 11
Forms Per Page 1
Global Product Type Forms-Insurance
Layout One Form per Sheet
Paper Color(s) White
Post Recycled % 0%
Principal Heading(s) 1500 Health Insurance Claim Form
Print and Ruling Color(s) OCR Red
Recycled Content % 0%
Sheet Size 8.5 x 11
Ship Class Code M
Total Recycled % 0%