Item #: 125555 | Model #: CMS12LC250
ComplyRight CMS-1500 Health Insurance Claims, 250/Box (CMS12LC250)
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ComplyRight CMS-1500 Health Insurance Claims, 250/Box (CMS12LC250)

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$35.69
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Product Details
  • Satisfy record-keeping requirements with these health insurance claim forms
  • Contains 250 forms per box
  • Printed with OCR “dropout” red ink on white paper
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35.69
35.69
https://www.staples-3p.com/s7/is/image/Staples/sp39611733
00015171233737
TFP
ComplyRight CMS-1500 Health Insurance Claims, 250/Box (CMS12LC250)
Product Description
Meet billing requirements for Medicare part B using these ComplyRight CMS-1500 health insurance claim forms.

Use these easy-to-read insurance claim forms for a faster claims process. Printed in scannable, dropout OCR red ink, these documents deliver crisp, clean text and comply with CMS standards and requirements for paper, layout and ink to expedite the receipt of payment for health care facilities. These ComplyRight CMS-1500 forms include 02/12 NUCC revisions and replace the previous 08/05 version.

  • Satisfy record-keeping requirements with these health insurance claim forms
  • Contains 250 forms per box
  • Printed with OCR “dropout” red ink on white paper
  • For use by all medical facilities
  • Developed in conjunction with all the governing agencies
  • Comes in laser-cut sheet format
  • 02/12 Version
Specifications
HR Form Type Health Insurance Claims
HR Form Pack Size 250
Width in Inches 8.5
Number of Parts 2
True Color White/Red
Series or Collection CMS-1500
Pack Qty 250
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