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CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 250 Forms

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.
2.9900
Each
Quantity:
TUD24423025-ES
Convenient perforations allow for clean and quick removal of pages, while the wire-free binding prevents rips and snags. The heavyweight cardstock cover delivers reliable performance and durability. Pocket-Sized Indicator: N; Book-Binding Type: Taped; Book-Binding Edge: Side; Cover Color: Green.

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