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ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657)
$3.09
  • Designed for filing Medicare part B claims as well as claims to commercial insurance companies
  • Includes the newest NUCC revisions
  • Printed in red, scannable, OCR ink

ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657)

Item #: 1032415Model #: 650657
$3.09
100/pack

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About this product

Designed for filing Medicare part B claims as well as claims to commercial insurance companies.

  • Designed for filing Medicare part B claims as well as claims to commercial insurance companies
  • Includes the newest NUCC revisions
  • Printed in red, scannable, OCR ink
  • Guaranteed to comply with all government standards for paper, ink and layout.
  • 8-1/2" x 11"
  • For laser or inkjet printers
  • 100 sheets
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