Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
Image of ComplyRight® CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 250 Forms Total
TFP DATA SYSTEMS

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

TFPCMS12LC250

Your Price: $21.50
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  • In stock, ready to ship
  • 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: TFPCMS12LC250
    Manufacturer: TFP DATA SYSTEMS
    Mfr. Part Number: CMS12LC250
    Brand Name: ComplyRight®
    Alternate Part Numbers: TFPCMS12LC250, TFP-CMS12LC250, CMS12LC250, 00758399422254 (GTIN)
    Country of Origin: US (United States)
    TAA Compliant: Yes
    UNSPSC Code: 0014111806
    Unit of Measure: PK (Package of 250)
    UPS Shippable: Yes
    Air Shippable: Yes
    Item Dimensions: 11.22 in. x 8.71 in. x 1.29 in.
    Weight: 2.6000 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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