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ComplyRight - CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) - White

Model: CMS12LC250
SKU: 11202485
$34.09
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About This Item

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.
  • General
    • Brand: ComplyRight
    • Model Number: CMS12LC250
    • Product Name: ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250)
    • Color: White
  • Other
    • Product Width: 8.5 inches (The out of box width of the item. Width is measured as the horizontal distance from one side of the item to the other as it would be primarily used or placed.)
    • Product Length: 11.0 inches (The out of box length of the item. Length is measured as the longest dimension of the item.)
    • Number Of Forms Included: 250
    • UPC: 758399422254

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.

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