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  • 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
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100/pack

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    • Details

    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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    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

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    ComplyRight™ CMS-1500 Health Insurance Claim Form, 8.5" x 11" 100/Pack (650657)
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    Product specifications table
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    Reviews
    4.6
    8
    4.6
    25
    4.7
    67
    4.8
    19
    4.8
    57
    4.9
    12
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    4.7
    31
    No reviews yet
    Delivery Information
    Data not available
    Delivery by Tue, May 13
    Delivery by Tue, May 06
    Delivery by Tue, May 06
    Free delivery by Tue, May 13
    Free delivery by Tue, May 06
    Free delivery by Tue, May 13
    Free delivery by Tue, May 13
    Delivery by Tue, May 13
    Free delivery by Tue, May 13
    Delivery by Thu, May 15
    Free delivery by Tue, May 13
    Free delivery by Tue, May 13
    Available in my store
    No
    No
    Yes
    No
    No
    No
    No
    No
    No
    No
    No
    No
    No
    Medical Form Pack Size
    100
    250
    100
    250
    2500
    500
    500
    2500
    100
    1000
    500
    500
    500
    Medical Form Type
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Dental Claims
    Dental Claims
    Dental Claims
    Dental Claims
    Health Insurance Claims
    Health Insurance Claims
    Health Insurance Claims
    Length in Inches
    11
    11
    11
    11
    11
    11
    11
    11
    11
    11
    11
    11
    Data not available
    Width in Inches
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    8.5
    Data not available
    Print Type
    Inkjet / Laser
    Laser
    Data not available
    Laser
    Laser
    Laser
    Laser
    Laser
    Laser
    Laser
    Laser
    Laser
    Data not available
    Form Size
    8 1 / 2" x 11"
    Data not available
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8 1 / 2" x 11"
    8-1 / 2" x 11"
    8-1 / 2" x 11"
    8-1 / 2" X 11"
    8-1 / 2" x 11"
    Data not available
    Data not available
    9" x 12.5"
    Series or Collection
    CMS-1500
    Data not available
    CMS-1500
    CMS-1500
    CMS-1500
    CMS-1500
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    Data not available
    CMS-1500
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