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CMS-1500 Health Insurance Claim Form One-Part 1000 Pack CMS12LC1
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- SBS-860862
- Medical Forms
- Item is in stock
- Retail Packaging
- N/A
- New
- TFP Data Systems
For Government/Education/Business pricing, please call 440.355.8008
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ComplyRight® CMS-1500 Health Insurance Claim Form
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: No; Forms Per Page: 1; Form Size: 8.5 x 11.
 | WARNING: This product can expose you to chemicals including Di(2-ethylhexyl)phthalate (DEHP), which is known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.P65Warnings.ca.gov. |
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Shipping Restrictions
- This item cannot be shipped to PO Boxes.
- This item can be shipped only within the U.S.
- UPC: 813859024444
- Mfr's Part #: CMS12LC1
