0 Items
Home  >  Office  >  Forms, Recordkeeping & Reference Materials  >  Forms  > CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250

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

Item #: TFPCMS12LC250-ES 
Available: In Stock
ComplyRight® CMS-1500 Health Insurance Claim Form
  • 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.
22.64
PACK
Quantity:
TFPCMS12LC250-ES
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 Type Details: CMS-1500; Dated/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Forms

Color Family
White
Copy Types
One-Part (No Copies)
Dated/Undated
Undated
Form Quantity (Total)
250
Form Size
8.5 x 11
Form Type Details
CMS-1500
Format Indicator
Unbound
Forms Per Page
1
Global Product Type
Insurance Forms
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
Product Biodegradability in Days
0
Sheet Size
8.5 x 11
Total Recycled Content Percent
0%
UPC
758399422254

Need Item In Bulk?

Become a Sigma Direct Customer, negotiated pricing and inventory management, with payment terms that suit your budget needs. Our customer services make the process quick and easy. Call us at (800) 264-1661.

CONTACT US
TFPCMS12LC1-ES

CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total

ComplyRight® CMS-1500 Health Insurance Claim Form
  • 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.
39.44
CARTON