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TFPCMS12LC1

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

Item Code: TFPCMS12LC1

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/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Category Forms

Manufacturer TFP Data Systems

Specifications

Made In

US

UNSPSC Code

14111806

Weight

10.99lb

Height

4.89in

Width

9.1in

Length

11.41in

Brand

ComplyRight

Category

Forms

Color Family

White

Copy Types

One-Part (No Copies)

Dated/undated

Undated

Form Quantity (Total)

1,000

Form Size

8.5 X 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Insurance Forms

Paper Color(s)

White

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

Total Recycled Content Percent

0%

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

Item Code: TFPCMS12LC1

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/Undated: Undated; Forms Per Page: 1; Form Size: 8.5 x 11.

Category Forms

Manufacturer TFP Data Systems

Specifications

Made In

US

UNSPSC Code

14111806

Weight

10.99lb

Height

4.89in

Width

9.1in

Length

11.41in

Brand

ComplyRight

Category

Forms

Color Family

White

Copy Types

One-Part (No Copies)

Dated/undated

Undated

Form Quantity (Total)

1,000

Form Size

8.5 X 11

Form Type Details

CMS-1500

Format Indicator

Unbound

Forms Per Page

1

Global Product Type

Insurance Forms

Paper Color(s)

White

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

Total Recycled Content Percent

0%

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