CMS-1500 Health Insurance Claim Forms One-Part 8.5 x 11 1000/Carton CMS12LC1

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CMS-1500 Health Insurance Claim Forms One-Part 8.5 x 11 1000/Carton CMS12LC1
Brand:
TFP Data Systems
UPC:
0813859024444
Mfr Part #:
CMS12LC1
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 "dropout" red ink. Form Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 1,000; Sheet Size: 8.5 x 11.
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