![CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total](http://shopox.com/cdn/shop/files/686212_800x.jpg?v=1716889392)
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
$6.99
:In stock
: TFP650657
Share:
Description :
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 Details :
Global Product Type | Insurance Forms |
Form Type Details | CMS-1500 |
Dated/Undated | Undated |
Forms Per Page | 1 |
Format Indicator | Unbound |
Copy Types | One-Part (No Copies) |
Color Family | White |
Form Size | 8.5 x 11 |
Sheet Size | 8.5 x 11 |
Form Quantity (Total) | 100 |
Principal Heading(s) | 1500 Health Insurance Claim Form |
Paper Color(s) | White |
Print and Ruling Color(s) | OCR Red |
Product Biodegradability in Days | 0 |
Pre-Consumer Recycled Content Percent | 0% |
Post-Consumer Recycled Content Percent | 0% |
Total Recycled Content Percent | 0% |
Country Of Origin | US |
Carton Weight | 6 lbs. |
Carton Pack Quantity | 500 PK |
Pack Quantity | 100 SH |
UPC | 015171105096 |
UNSPSC | 14111806 |
Shipping Weight & Item Dimensions :
Weight | 1.065 lbs. |
Length | 11.062 in |
Height | 0.312 in |
Width | 8.515 in |