Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 1,000 Forms Total
TFP DATA SYSTEMS

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

TFPCMS12LC1

Your Price: $37.25
/
  • In stock, ready to ship
  • Backordered, shipping soon
  • Free shipping on orders over $75
Unit

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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

  • 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.

    • Product Details

    SKU: TFPCMS12LC1
    Manufacturer: TFP DATA SYSTEMS
    Mfr. Part Number: CMS12LC1
    Brand Name: ComplyRight®
    Alternate Part Numbers: TFPCMS12LC1, TFP-CMS12LC1, CMS12LC1, 00813859024444 (GTIN)
    Country of Origin: US (United States)
    TAA Compliant: Yes
    UNSPSC Code: 0014111806
    Unit of Measure: CT (Carton of 1,000)
    UPS Shippable: Yes
    Air Shippable: Yes
    Item Dimensions: 11.41 in. x 9.10 in. x 4.89 in.
    Shipped Dimensions: 11.41 in. x 9.10 in. x 4.89 in.
    Weight: 11.0000 lb.
    Expiration Date: No
    Keywords: Paperwork; Records; Documents; Pre-Printed; Record-Keeping

    Environmental Properties

    Energy Star: No
    Green Indicator: No
    Recycled: No

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