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TFP DATA SYSTEMS CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (TFPCMS12LC1)
Out of stockSKU: TFPCMS12LC1

TFP DATA SYSTEMS CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total (TFPCMS12LC1)

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Description

Key Features

  • 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.
  • 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.
  • 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.
  • 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.

Specifications

  • Global Product Type: Insurance Forms
  • Form Type Details: CMS-1500
  • Dated: No
  • Forms Per Page: 1
  • Form Size: 8.5 x 11
  • Sheet Size: 8.5 x 11
  • Format Indicator: Unbound
  • Form Quantity (Total): 1,000
  • Copy Types: One-Part (No Copies)
  • Principal Heading(s): 1500 Health Insurance Claim Form
  • Paper Color(s): White
  • Color Family: White
  • Print and Ruling Color(s): OCR Red
  • Product Biodegradability Indicator: N
  • Product Compostability Indicator: N
  • Pre-Consumer Recycled Content Percent: 0%
  • Post-Consumer Recycled Content Percent: 0%
  • Total Recycled Content Percent: 0%

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