• 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
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
    Specifications
    Specifications table
    Attribute nameAttribute value
    Length in Inches 11
    Series or Collection
    CMS-1500
    Form Size
    8 1/2" x 11"
    Medical Form Pack Size 100
    Width in Inches
    8.5
    Medical Form Type Health Insurance Claims
    Print Type Inkjet/Laser
    Reviews