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

    Product Code: TFPCMS12LC1
    Product Unit: CT1000
    Comply
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    • Printed in scannable, dropout OCR red ink.
    • Easy-to-read forms for faster claims processing.
    • Include all 02/12 NUCC revisions, replacing the previous 08/05 version.
    • Comply with CMS standards and requirements for paper, layout and ink.
    • Meet billing requirements for Medicare Part B.

Product Details

Product Information

Brand Comply
Type Multipurpose Book

Description

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.

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