Tfp Data 650656 8.5 x 11 in. CMS-1500 Health Insurance Claim Forms - Box of 500

CMS-1500 Health Insurance Claim Forms, One-Part, 8.5 x 11, 500/Box, 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.

• Meet billing requirements for Medicare Part B
• Easy-to-read forms for faster claims processing
• Comply with CMS standards and requirements for paper, layout and ink
• Printed in scannable, dropout OCR red ink
• Include all 02/12 NUCC revisions, replacing the previous 08/05 version
• Box of 500

• Principal Heading(s): 1500 Health Insurance Claim Form
• Copy Types: One-Part Carbonless
• Form Size: 8.5 x 11 in.
• Sheet Size: 8.5 x 11
• Layout: One Form per Sheet
• Paper Color: White
• Print and Ruling Color: OCR Red
• Country of Origin: USA
• Dimension: 8.90 x 5.30 x 12.00 in.