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Product Specifications
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
TFP650657
650657
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.
Available
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
Contract ID: 47QSCCD0007
Vendor: ESSENDANT
Assembly Indicator: N
Country of Origin: United States
Green Indicator: N
Item Depth: 11.062
Item Height: 0.312
Item Width: 8.515
Item Weight: 1.065
Selling Copy Short: 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. Printed in scannable, OCR "dropout" red ink.
Selling Copy Medium: 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.
Selling Point #1: Meet billing requirements for Medicare Part B.
Selling Point #2: Easy-to-read forms for faster claims processing.
Selling Point #3: Comply with CMS standards and requirements for paper, layout and ink.
Selling Point #4: Printed in scannable, dropout OCR red ink.
Selling Point #5: Include all 02/12 NUCC revisions, replacing the previous 08/05 version.
Unit of Measure Qty: 100
NCP000010637
Product 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.