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ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack TFP1032415 650657

ComplyRight CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 100/Pack TFP1032415 650657
Price $5.23
Manufacturer: ComplyRight
Mfg Number: TFP1032415
SKU:
Model: 650657
Condition: New
UPC: 015171105096
Accessories
Description
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.
Specifications
Global Product Type Forms-Insurance
Form Size 8.5 x 11
Forms Per Page 1
Form Quantity 100
Sheet Size 8.5 x 11
Principal Heading 1500 Health Insurance Claim Form
Layout One Form per Sheet
Copy Types One-Part
Paper Color White
Print and Ruling Color OCR Red
Pre-Consumer Recycled Content Percent 0%
Post-Consumer Recycled Content Percent 0%
Total Recycled Content Percent 0%
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