Contract Item
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
- 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.
Description
Specifications
Made In
US
UNSPSC Code
14111806
Weight
2.6lb
Height
1.29in
Width
8.71in
Length
11.22in
Brand
ComplyRight
Category
Forms
Color Family
White
Copy Types
One-Part (No Copies)
Dated
No
Form Quantity (Total)
250
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
Product Biodegradability Indicator
N
Product Compostability Indicator
N
Sheet Size
8.5 X 11
Total Recycled Content Percent
0%
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Recommendations
Contract Item
CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
- 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.