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CMS-1500 Health Insurance Claim Forms with QR Code Identifier, One-Part (No Copies), 8.5 x 11, 500 Forms Total

SKU

CNK12LC500

by ComplyRight

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$25.49

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Category: Motorcycle & Powersports

Details

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 Size: 8.5 x 11; Forms Per Page: 1; Form Quantity: 500; Sheet Size: 8.5 x 11.

Color Family	White
Copy Types	One-Part (No Copies)
Dated/Undated	Undated
Form Binding	Unbound
Form Quantity (Total)	500
Form Size	8.5 x 11
Form Type Details	CMS-150
Forms Per Page	1
Global Product Type	Insurance Forms
Paper Color(s)	White
Paper Stock	20 lb Bond
Post-Consumer Recycled Content Percent	0%
Pre-Consumer Recycled Content Percent	0%
Principal Heading(s)	1500 Health Insurance Claim Form
Print and Ruling Color(s)	OCR Red
Sheet Size	8.5 x 11
Special Features	QR Code Identifier—Preprinted code at the top of the form supports and aligns with all common industry scanning systems.
Total Recycled Content Percent	0%

More Information

Brand	ComplyRight
Weight (lbs)	4.800000
UPC	639266099598
MPN	12LC500

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CMS-1500 Health Insurance Claim Forms with QR Code Identifier, One-Part (No Copies), 8.5 x 11, 500 Forms Total

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