CMS-1500 Health Insurance Claim Form, One-Part (No Copies), 8.5 x 11, 100 Forms Total
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.
| Manufacturer: | TFP DATA SYSTEMS |
| Brand: | ComplyRight® |
| Item Number: | TFP650657 |
| Manufacturer Part Number: | 650657 |
| Unit of Measure: | PK |
| Recycled: | No |
| Pre-Consumer Recycled Content: | 0% |
| Post-Consumer Recycled Content: | 0% |
| Total Recycled Content: | 0% |
