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CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms

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Your Price: $34.30

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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.

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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: 758399422254
Mfr's Part #: CMS12LC250